FORM 1023-EZ for HERITAGE HOUSE OF STATEN ISLAND INC

Field Data
EIN 23-7165001
Case Number EO-2018012-000278
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HERITAGE HOUSE OF STATEN ISLAND INC
Organization’s Mailing Address PO BOX 201
City BRONX
State NY
ZIP 10468
Accounting period End 12
Primary contact name ARNOLD PORTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ARNOLD PORTER
CEO
2549 JEROME AVE PO BOX 201
BRONX NY 10468

Officer/Director/Trustee Two

ODESA PAYNE
TREASURER
2549 JEROME AVE PO BOX 201
BRONX NY 10468

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/17/70
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R22 - Minority Rights
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 Yes
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 Yes
Correctness Declaration Yes
Signature Name ARNOLD PORTER
Signature Title CEO
Signature Date 1/10/18

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