FORM 1023-EZ for NEW YORK DIABETES ALLIANCE FOUNDATION

Field Data
EIN 87-2254973
Case Number EO-2021256-000505
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NEW YORK DIABETES ALLIANCE FOUNDATION
Organization’s Mailing Address 254 DEVOE STREET APT 2L
City BROOKLYN
State NY
ZIP 11211-3830
Accounting period End 12
Primary contact name KARLYNN HOLLAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIC GOLDBERG
PRESIDENT
254 DEVOE STREET APT 2L
BROOKLYN NY 11211-3830

Officer/Director/Trustee Two

KARLYNN HOLLAND
VICE PRESIDENT
254 DEVOE STREET APT 2L
BROOKLYN NY 11211-3830

Officer/Director/Trustee Three

ELSA KAMINSKY
SECRETARY
254 DEVOE STREET APT 2L
BROOKLYN NY 11211-3830

Organization’s website WWW.NEWYORKDIABETESALLIANCE.COM
Organization’s email NYDIABETESALLIANCE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/13/2021
Organization Incorporation State DE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption Yes
Legislation influence Yes
Compensation of Officer director trustee Yes
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 No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration No
Signature Name KARLYNN HOLLAND
Signature Title VICE PRESIDENT
Signature Date 9/10/2021

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