FORM 1023-EZ for MAY PEN HIGH SCHOOL PAST STUDENT ASSOCIATION

Field Data
EIN 85-3502264
Case Number EO-2021161-000309
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MAY PEN HIGH SCHOOL PAST STUDENT ASSOCIATION
Organization’s Mailing Address 12327 MERRICK BLVD APT 48
City JAMAICA
State NY
ZIP 11434
Accounting period End 10
Primary contact name LOLA -WALKER-GRIFFITHS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LOLA WALKER-GRIFFITHS
CHAIR PERSON
925 NW 14TH STREET
FT LAUDERDALE FL 33311

Officer/Director/Trustee Two

DELROY BURRELL
PRESIDENT
2628 HARPER AVE
BRONX NY 10466

Officer/Director/Trustee Three

CARLTON BARNES
TREASURER
12327 MERRICK BLVD APT 48
JAMAICA NY 11434

Officer/Director/Trustee Four

DONNA CROWE
SECRETARY
1 BALINT DRIVE APT 768
YONKERS NY 10710

Officer/Director/Trustee Five

TAMIKO BAKER
PROJECT MANAGER
159-21 71ST AVENUE 1E
FLUSHING NY 11365

Organization’s website
Organization’s email DRLOLAJOY2014@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/31/2020
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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 LOLA WALKER-GRIFFITHS
Signature Title CHAIR PERSON
Signature Date 6/8/2021

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