FORM 1023-EZ for WEST ISLIP HISTORICAL SOCIETY

Field Data
EIN 81-5394521
Case Number EO-2018109-000607
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WEST ISLIP HISTORICAL SOCIETY
Organization’s Mailing Address POST OFFICE BOX 231
City WEST ISLIP
State NY
ZIP 11795
Accounting period End 12
Primary contact name LYNN LUTTENBERGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LYNN LLUTTENBERGER
PRESIDENT
515 OAK NECK RD
WEST ISLIP NY 11795

Officer/Director/Trustee Two

GAIL GYARMATHY
VICE PRESIDENT
77 SUTTEN CT
WEST ISLIP NY 11795

Officer/Director/Trustee Three

ROBERT RAIMONDI
SECRETARY
44 WAVECREST AVE
WEST ISLIP NY 11795

Officer/Director/Trustee Four

JAMES LUNDIE
TREASURER
14 LAGRANGE PL
WEST ISLIP NY 11795

Organization’s website WESTISLIPHISTORICALSOCIETYORG
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/10/17
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A80 - Historical Societies, Related Historical Activities
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 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 LYNN LLUTTENBERGER
Signature Title PRESIDENT
Signature Date 4/17/18

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