FORM 1023-EZ for NORTH SHORE LI CHAPTER OF UNICO NATIONAL

Field Data
EIN 27-1198210
Case Number EO-2016237-000211
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTH SHORE LI CHAPTER OF UNICO NATIONAL
Organization’s Mailing Address 1300 JERICHO TURNPIKE
City NEW HYDE PARK
State NY
ZIP 11040
Accounting period End 12
Primary contact name ELLEN LEONE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSEPH SCLAFANI
PRESIDENT
16 CLOVER MEADOW CT
HOLTSVILLE NY 11742

Officer/Director/Trustee Two

ROBERT DI RICO
1ST VICE PRESIDENT
1520 202ND STREET APT 6G
BAYSIDE NY 11360

Officer/Director/Trustee Three

PATRICIA STAKE
2ND VICE PRESIDENT
105 7TH STREET APT 4
GARDEN CITY NY 11530

Officer/Director/Trustee Four

ELLEN LEONE
TREASURER
87-31 110TH STREET
RICHMOND HILL NY 11418

Officer/Director/Trustee Five

LUCIANO DI RICO
SECRETARY
228 CLEMENS ROAD
MINEOLA NY 11501

Organization’s website WWW.NSLIUNICO.ORG
Organization’s email NORTHSHORELIUNICO@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/30/2009
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 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 Yes
Signature Name
Signature Title
Signature Date

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