FORM 1023-EZ for ANIMAL LIFELINE NEW YORK INC

Field Data
EIN 47-3696808
Case Number EO-2015105-000196
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ANIMAL LIFELINE NEW YORK INC
Organization’s Mailing Address 16 COLDPORT DRIVE
City HUNTINGTON
State NY
ZIP 11743
Accounting period End 12
Primary contact name AMANDA WILSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

AMANDA WILSON
PRESIDENT
16 COLDPORT DRIVE
HUNTINGTON NY 11743

Officer/Director/Trustee Two

NICOLE BOLOGNA
VICE PRESIDENT
15 HIGHPOINT DRIVE
HUNTINGTON STATION NY 11746

Officer/Director/Trustee Three

MATTHEW WILSON
SECRETARY
28 BAYBERRY DRIVE
HUNTINGTON NY 11743

Organization’s website WWW.ANIMALLIFELINENY.ORG
Organization’s email ANIMALLIFELINENY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/8/2015
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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
Signature Title
Signature Date

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