FORM 1023-EZ for NEW YORK PHIL AM LIONS CLUB INC

Field Data
EIN 84-3615672
Case Number EO-2019316-000121
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NEW YORK PHIL AM LIONS CLUB INC
Organization’s Mailing Address 211-01 46TH ROAD
City BAYSIDE
State NY
ZIP 11361
Accounting period End 12
Primary contact name RAYMOND SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RAYMOND SMITH
PRESIDENT
21101 46TH ROAD
BAYSIDE NY 11361

Officer/Director/Trustee Two

SALVATORE CICCOTTO
EXECUTIVE VICE PRESIDENT
31-38 82ND STREET
EAST ELMHURST NY 11370

Officer/Director/Trustee Three

ERLINDA LEONE
SECRETARY
7 LILLIAN DRIVE
CHESTNUT RIDGE NY 10977

Officer/Director/Trustee Four

JOSEPHINA DOMINGO
TREASURER
1 HOLY COURT
BLOOMFIELD NJ 7003

Officer/Director/Trustee Five

NENA SMITH
MEMBERSHIP CHAIRPERSON
211-01 46TH ROAD
BAYSIDE NY 11361

Organization’s website
Organization’s email CASINORAYMOND@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/30/19
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
Disaster relief assistance Yes
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 RAYMOND SMITH
Signature Title PRESIDENT
Signature Date 11/7/19

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