NATIVITY MISSION CENTER

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2011-09-01
Business code	813000
Sponsor’s telephone number	2126748590
Plan sponsor’s address	740 MANIDA STREET, BRONX, NY, 10474

Signature of

Role	Plan administrator
Date	2015-01-06
Name of individual signing	EAVAN O'DRISCOLL

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2011-09-01
Business code	813000
Sponsor’s telephone number	2126748590
Plan sponsor’s address	740 MANIDA STREET, BRONX, NY, 10474

Signature of

Role	Plan administrator
Date	2015-01-06
Name of individual signing	EAVAN O'DRISCOLL

Three-digit plan number (PN)	001
Effective date of plan	2011-09-01
Business code	813000
Sponsor’s telephone number	2126748590
Plan sponsor’s address	740 MANIDA STREET, BRONX, NY, 10474

Signature of

Role	Plan administrator
Date	2015-01-06
Name of individual signing	EAVAN O'DRISCOLL

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2011-09-01
Business code	813000
Sponsor’s telephone number	2126748590
Plan sponsor’s address	740 MANIDA STREET, BRONX, NY, 10474

Signature of

Role	Plan administrator
Date	2014-04-02
Name of individual signing	EAVAN O'DRISCOLL

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2011-09-01
Business code	813000
Sponsor’s telephone number	2126748590
Plan sponsor’s address	44 SECOND AVENUE, NEW YORK, NY, 10003

Plan administrator’s name and address

Administrator’s EIN	131968980
Plan administrator’s name	NATIVITY MISSION CENTER
Plan administrator’s address	44 SECOND AVENUE, NEW YORK, NY, 10003
Administrator’s telephone number	2126748590

Signature of

Role	Plan administrator
Date	2013-04-15
Name of individual signing	KISIS CRUZ

In Care of Name	% PUSTORINO PUGLISI & CO P C
Group Exemption Number	0928
Subsection	Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation	Subordinate - This code is used if the organization is a subordinate in a group ruling.
Classification	Government Instrumentality, Title-Holding Corporation, Charitable Organization, Religious Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Deductibility	Contributions are deductible.
Foundation	Church 170(b)(1)(A)(i)
Tax Period	-
Asset	0
Income	0
Filing Requirement	990 - Not required to file (church)
PF Filing Requirement	No 990-PF return
Accounting Period	Dec
Asset Amount	-
Income Amount	-
Form 990 Revenue Amount	-
National Taxonomy of Exempt Entities	-
Sort Name	-