FORM 1023-EZ for THE LONG ISLAND REGIONAL TECHNICALURBAN SEARCH AND RESCUE ASSOCIATION

Field	Data
EIN	75-3246635
Case Number	EO-2018318-000142
Form 1023-EZ version	12018
Eligibility Worksheet	1
Organization Name	THE LONG ISLAND REGIONAL TECHNICALURBAN SEARCH AND RESCUE ASSOCIATION
Organization’s Mailing Address	134 DUTCHESS BLVD
City	ATLANTIC BEACH
State	NY
ZIP	11509-2255
Accounting period End	12
Primary contact name	JONATHAN B KOHAN
Primary contact phone	[Hidden]
Primary contact phone extension	[Hidden]
Primary contact fax	[Hidden]
User fee submitted	$275.00

Officer/Director/Trustee One

JONATHAN KOHAN
SECRETARY
134 DUTCHESS BLVD
ATLANTIC BEACH NY 11509-2255

Officer/Director/Trustee Two

WILLIAM XIKSIS
PRESIDENT
44 WOODMERE PLACE
SELDEN NY 11784

Officer/Director/Trustee Three

KEVIN FINN
TREASURER
930 CONKLIN AVENUE
FARMINGDALE NY 11775

Officer/Director/Trustee Four

JOE ISABELLA
VICE PRESIDENT
44 WOODMERE PLACE
SELDEN NY 11784

Officer/Director/Trustee Five

MYLES QUINN
VICE PRESIDENT
125 FOURTH STREET
BRENTWOOD NY 11717

Organization’s website
Organization’s email
Organization Incorporated	Yes
Organization trust	No
Necessary Organizing Documents	Yes
Organization Incorporation Date	9/9/09
Organization Incorporation State	NY
Contains Limitation	Yes
Does not expressly empower	Yes
Contains dissolution	Yes
National Taxonomy of Exempt Entities (NTEE) code	M23 - Search and Rescue Squads, Services
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	JONATHAN KOHAN
Signature Title	SECRETARY
Signature Date	11/6/18
EIN	75-3246635
Case Number	EO-2018318-000142
Form 1023-EZ version	12018
Eligibility Worksheet	1
Organization Name	THE LONG ISLAND REGIONAL TECHNICAL URBAN SEARCH AND RESCUE ASSOCIATION
Organization’s Mailing Address	134 DUTCHESS BLVD
City	ATLANTIC BEACH
State	NY
ZIP	11509-2255
Accounting period End	12
Primary contact name	JONATHAN B KOHAN
Primary contact phone	[Hidden]
Primary contact phone extension	[Hidden]
Primary contact fax	[Hidden]
User fee submitted	$275.00