FORM 1023-EZ for BETHANY HOSPITALITY KITCHEN LTD

Field Data
EIN 82-4104043
Case Number EO-2018107-000274
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BETHANY HOSPITALITY KITCHEN LTD
Organization’s Mailing Address PO BOX 56
City CENTRAL ISLIP
State NY
ZIP 11722
Accounting period End 12
Primary contact name BETH ABESAMIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSEPH LADOLCETTA
DIRECTOR
208 CEDARWOOD STREET
ISLIP TERRACE NY 11752

Officer/Director/Trustee Two

WILLIAM NEUNER
DIRECTOR
35 WEST 19TH STREET
DEER PARK NY 11729

Officer/Director/Trustee Three

ROBERT HANNA
DIRECTOR
43 CEDARHURST STREET
ISLIP TERRACE NY 11752

Officer/Director/Trustee Four

BETH ABESAMIS
DIRECTOR
33 COUNTRY VIEW LANE
EAST ISLIP NY 11730

Officer/Director/Trustee Five

RENEE DE VRIES
DIRECTOR
49 SATELLITE DRIVE
ISLIP TERRACE NY 11752

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/11/18
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
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 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 BETH ABESAMIS
Signature Title DIRECTOR
Signature Date 3/24/18

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