FORM 1023-EZ for PTSD VETERANS ASSOCIATION OF NORTHPORT

Field Data
EIN 45-3724547
Case Number EO-2015076-000196
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PTSD VETERANS ASSOCIATION OF NORTHPORT
Organization’s Mailing Address 61 ABBOT AVE
City NO MERRICK
State NY
ZIP 11566
Accounting period End 12
Primary contact name HUTCH DUBOSQUE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HUTCH DUBOSQUE
PRESIDENT
10 WOOLSEY ST
HUNTINGTON NY 11743-2641

Officer/Director/Trustee Two

REGINALD CAIN
VICE PRESIDENT
301A LIBERTY WAY
NO AMITYVILLE NY 11701

Officer/Director/Trustee Three

MANNY ORTIZ
SECRETARY
12 HORSESHOE LANE
LEVITTOWN NY 11756

Officer/Director/Trustee Four

SIDNEY STEINBERG
TREASURER
205 SPRINGMEADOW DRIVE
HOLBROOK NY 11741

Officer/Director/Trustee Five

JOHN BALL
DIRECTOR
61 ABBOT AVE
NO MERRICK NY 11566

Organization’s website HTTP://PTSDVETERANSASSOCIATION.ORG
Organization’s email PTSDALUMNI@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/15/2011
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y42 - Domestic Fraternal Societies
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 Yes
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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