FORM 1023-EZ for EASTERN LONG ISLAND ANTIQUE FIRE APPARATUS ASSOCIATION

Field Data
EIN 82-3676074
Case Number EO-2018106-000754
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EASTERN LONG ISLAND ANTIQUE FIRE APPARATUS ASSOCIATION
Organization’s Mailing Address 573 NORTH SEA MECOX ROAD
City SOUTHAMPTON
State NY
ZIP 11968
Accounting period End 12
Primary contact name HERMON J BISHOP ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEVEN RAYNOR
PRESIDENT
573 NORTH SEA MECOX ROAD
SOUTHAMPTON NY 11968

Officer/Director/Trustee Two

MELISSA FREY
TREASURER
17 FOREST TRAIL
RIDGE NY 11961

Officer/Director/Trustee Three

BRIAN WILLIAMS
VICE PRESIDENT
POB 131
MATTITUCK NY 11952-131

Officer/Director/Trustee Four

AMY PAGE
SECRETARY
573 NORTH SEA MECOX ROAD
SOUTHAMPTON NY 11968

Officer/Director/Trustee Five

LARRY SACCENTE
SARGEANT-AT-ARMS/TRUSTEE
POB 1331
WESTHAMPTON NY 11977-1331

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/14/18
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 STEVEN RAYNOR
Signature Title PRESIDENT
Signature Date 4/3/18

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