FORM 1023-EZ for ACFN-COMMUNITY ASSOCIATION OF FOSSENABOTTE INC

Field Data
EIN 81-0779686
Case Number EO-2016075-000048
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ACFN-COMMUNITY ASSOCIATION OF FOSSENABOTTE INC
Organization’s Mailing Address 51 TREBOR ROAD
City MASSAPEQUA
State NY
ZIP 11758
Accounting period End 12
Primary contact name NOE ARISTIL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOSEPH CHARLES
PRESIDENT/DIRECTOR
51 TREBOR ROAD
MASSAPEQUA NY 11758

Officer/Director/Trustee Two

MARIE M DATILUS
TREASURER/DIRECTOR
51 TREBOR ROAD
MASSAPEQUA NY 11758

Officer/Director/Trustee Three

RODRIGUE DAUPHIN
SECRETARY/DIRECTOR
51 TREBOR ROAD
MASSAPEQUA NY 11758

Organization’s website
Organization’s email NARISTIL1239@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/3/2016
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q99 - International, Foreign Affairs, and National Security N.E.C.
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 Yes
Conducting Activities Outside of United States Yes
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 Yes
Signature Name
Signature Title
Signature Date

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