FORM 1023-EZ for DEER PARK LIONS CLUB SUFFOLK COUNTYNEW YORK INC

Field Data
EIN 26-3117525
Case Number EO-2016280-000409
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DEER PARK LIONS CLUB SUFFOLK COUNTYNEW YORK INC
Organization’s Mailing Address PO BOX 412
City DEER PARK
State NY
ZIP 11729
Accounting period End 12
Primary contact name GENE BARTALINI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GENE BARTALINI
PRESIDENT
1433 PINE ACRES BLVD
BAY SHORE NY 11706

Officer/Director/Trustee Two

PATRICK GILLESPIE
VICE PRESIDNET
273 TOWN LINE ROAD
EAST NORTHPORT NY 11731

Officer/Director/Trustee Three

ANTHONY BECCARIA
TREASURER
46 NEW YORK AVE
DEER PARK NY 11729

Officer/Director/Trustee Four

BEATRICE LEWANDUSKI
SECRETARY
126 AVENUE B
WEST BABYLON NY 11704

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/22/2008
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S21 - Community Coalitions
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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