FORM 1023-EZ for CARROLLS KITCHEN INC

Field Data
EIN 85-0635742
Case Number EO-2020114-000243
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CARROLLS KITCHEN INC
Organization’s Mailing Address 25 BRIAN DRIVE
City EAST ISLIP
State NY
ZIP 11730
Accounting period End 12
Primary contact name JOSEPH A HANSHE ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RYAN CARROLL
EXEC DIRECTOR
25 BRIAN DRIVE
EAST ISLIP NY 11730

Officer/Director/Trustee Two

JENNA HANSHE
DIRECTOR
116 GREENE AVE
SAYVILLE NY 11782

Officer/Director/Trustee Three

JAMES DESTASIO
DIRECTOR
430 NORTH GREEN AVE
LINDENHURST NY 11757

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/7/2020
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RYAN CARROLL
Signature Title EXEC DIRECTOR
Signature Date 4/21/2020

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