FORM 1023-EZ for FRIENDS OF LONG ISLAND WELLNESS COUNCIL

Field Data
EIN 83-3329909
Case Number EO-2019045-000098
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FRIENDS OF LONG ISLAND WELLNESS COUNCIL
Organization’s Mailing Address PO BOX 263
City LONG ISLAND
State ME
ZIP 4050
Accounting period End 12
Primary contact name NICHOLAS HIGGINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SONIA DONOVAN
PRESIDENT/ DIRECTOR
PO BOX 263
LONG ISLAND ME 4050

Officer/Director/Trustee Two

AMY TIERNEY
TREASURER/ DIRECTOR
PO BOX 263
LONG ISLAND ME 4050

Officer/Director/Trustee Three

ELIZABETH MARCHAK
SECRETARY/ DIRECTOR
PO BOX 263
LONG ISLAND ME 4050

Officer/Director/Trustee Four

PAULA JOHNSON
DIRECTOR
PO BOX 263
LONG ISLAND ME 4050

Officer/Director/Trustee Five

MARK GREENE
DIRECTOR
PO BOX 263
LONG ISLAND ME 4050

Organization’s website N/A
Organization’s email CLERK@LONGISLANDMAINE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/2/19
Organization Incorporation State ME
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E11 - Single Organization Support
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name AMY TIERNEY
Signature Title TREASURER/ DIRECTOR
Signature Date 2/12/19

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