FORM 1023-EZ for THERAPY DOGS OF LONG ISLAND

Field Data
EIN 81-0865939
Case Number EO-2017053-000120
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THERAPY DOGS OF LONG ISLAND
Organization’s Mailing Address 19 CREEK RD
City SMITHTOWN
State NY
ZIP 11787-4127
Accounting period End 12
Primary contact name TERRY GALLOGLY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERRY GALLOGLY
PRESIDENT
19 CREEK RD
SMITHTOWN NY 11787-4127

Officer/Director/Trustee Two

MARGARET FANNING
VICE PRESIDENT
28 BROCTON LANE
KINGS PARK NY 11754-4102

Officer/Director/Trustee Three

PAT BOESCH- HENRY
TREASURER
24 CROFT
LANE NY 11787-4127

Officer/Director/Trustee Four

MARYELLEN BROTHERS
SECRETARY
241-27B OAK PARK DR
DOUGLASTON NY 11362

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/18/2015
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P50 - Personal Social Services
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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