FORM 1023-EZ for THERAPEUTIC COMMUNITY ASSOCIATION OF NEW YORK

Field Data
EIN 36-4514922
Case Number EO-2016350-000265
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THERAPEUTIC COMMUNITY ASSOCIATION OF NEW YORK
Organization’s Mailing Address 271 CENTRAL AVENUE
City ALBANY
State NY
ZIP 12206
Accounting period End 12
Primary contact name STEVEN WINSTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEVEN WINSTON
ATTORNEY
251 HIGH STREET
MONROE NY 10950

Officer/Director/Trustee Two

JOHN TAVOLOCCI
PRESIDENT
120 WALL STREET - 17TH FL
NEW YORK NY 10005

Officer/Director/Trustee Three

NORWIG DEBYE-SAXINGER
EXECUTIVE DIRECTOR
246 MERWIN LAKE ROAD
KINDERHOOK NY 12106

Officer/Director/Trustee Four

DIANE S GONZALEZ
CFO
116-30 SUTPHIN BLVD
JAMAICA NY 11434

Officer/Director/Trustee Five

KATHLEEN RIDDLE
VP
117-11 MYRTLE AVENUE
RICHMOND HILL NY 11418

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/16/1992
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
Organization’s purpose Charitable: Yes
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 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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