FORM 1023-EZ for SERVICE BRIGADE INC

Field Data
EIN 82-3307534
Case Number EO-2017310-000447
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SERVICE BRIGADE INC
Organization’s Mailing Address 60 HOFSTRA DRIVE
City SMITHTOWN
State NY
ZIP 11787
Accounting period End 5
Primary contact name JUSTINE CONNOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RYAN CONNOR
BOARD MEMBER
60 HOFSTRA DRIVE
SMITHTOWN NY 11787

Officer/Director/Trustee Two

PRIYANKA KHANNA
BOARD MEMBER
101 RASPBERRY COURT
MELVILLE NY 11747

Officer/Director/Trustee Three

LYNN LAMORTE
BOARD MEMBER
11 MECHANIC STREET
HUNTINGTON NY 11743

Officer/Director/Trustee Four

JUSTINE CONNOR
PRESIDENT
60 HOFSTRA DRIVE
SMITHTOWN NY 11787

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/2/2017
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 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 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
Signature Title
Signature Date

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