FORM 1023-EZ for ATD LONG ISLAND

Field Data
EIN 51-0222846
Case Number EO-2016084-000324
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ATD LONG ISLAND
Organization’s Mailing Address 149 CENTRE AVENUE
City EAST ROCKAWAY
State NY
ZIP 11518
Accounting period End 3
Primary contact name HECTOR MARTINEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HECTOR MARTINEZ
VP, FINANCE
160-14 130TH AVE
JAMAICA NY 11434

Organization’s website ATDLI.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/1992
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P03 - Professional Societies, Associations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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