FORM 1023-EZ for N Y COLORECTAL CANCER SURVIVORSHIP SUPPORT GROUP
| Field | Data |
|---|---|
| EIN | 81-4756368 |
| Case Number | EO-2018071-000313 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | N Y COLORECTAL CANCER SURVIVORSHIP SUPPORT GROUP |
| Organization’s Mailing Address | 63 DAVISON PLAZA |
| City | EAST ROCKAWAY |
| State | NY |
| ZIP | 11518-1520 |
| Accounting period End | 12 |
| Primary contact name | MICHAEL KILLARNEY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MICHAEL KILLARNEY
PRESIDENT
63 DAVISON PLAZA
EAST ROCKAWAY NY 11518-1520
Officer/Director/Trustee Two
ANGEL VELEZ
VICE PRESIDENT
114 RIGNEY STREET
BRENTWOOD NY 11717
Officer/Director/Trustee Three
ELIZABETH LEDERER
SEC/TREAS.
56 HAZELWOOD AVENUE
WEST HAMPTON BEACH NY 11978
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/21/16 |
| Organization Incorporation State | NY |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P20 - Human Service Organizations - Multipurpose |
| 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 | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | MICHAEL KILLARNEY |
| Signature Title | PRESIDENT |
| Signature Date | 3/9/18 |
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