FORM 1023-EZ for BRANCHES LONG ISLAND INC

Field Data
EIN 84-3187070
Case Number EO-2019290-000165
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BRANCHES LONG ISLAND INC
Organization’s Mailing Address 25 MYRTLE LANE
City CORAM
State NY
ZIP 11727
Accounting period End 12
Primary contact name SAMANTHA MORALES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMANTHA MORALES
PRESIDENT
25 MYRTLE LANE
CORAM NY 11727

Officer/Director/Trustee Two

WAYNE MORALES
VICE PRESIDENT
25 MYRTLE LANE
CORAM NY 11727

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/7/19
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other 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 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 Yes
Signature Name SAMANTHA MORALES
Signature Title PRESIDENT
Signature Date 10/15/19

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