FORM 1023-EZ for GOOD SAMS DIVINE INTERVENTION CENTER INC
| Field | Data |
|---|---|
| EIN | 47-4730749 |
| Case Number | EO-2017303-000466 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | GOOD SAMS DIVINE INTERVENTION CENTER INC |
| Organization’s Mailing Address | 4 PUTTER LANE |
| City | MIDDLE ISLAND |
| State | NY |
| ZIP | 11953-1919 |
| Accounting period End | 12 |
| Primary contact name | KATTY GRAND-PIERRE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ARMELE EUGENE
PRESIDENT
18 BARBARA ANN STREET
MANORVILLE NY 11949-3000
Officer/Director/Trustee Two
LYD EDMOND
VICE PRESIDENT
138 16TH STREET
DEER PARK NY 11729-4907
Officer/Director/Trustee Three
MICHADLIE DORILAS
SECRETARY
1266 ATWATER DRIVE
NORTH PORT FL 34288-4413
Officer/Director/Trustee Four
RICHARDSTONE LOMINY
TREASURER
14150 WUNDERLICH DRIVE APT 1406
HOUSTON TX 77069-3476
Officer/Director/Trustee Five
KATTY GRAND PIERRE
TRUSTEE
4 PUTTER LANE
MIDDLE ISLAND NY 11953-1919
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/7/2017 |
| 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 | 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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