FORM 1023-EZ for LONG ISLAND LIFE SAFETY ASSOCIATION

Field Data
EIN 27-1385790
Case Number EO-2017023-000316
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LONG ISLAND LIFE SAFETY ASSOCIATION
Organization’s Mailing Address 123 WEST 3RD STREET
City WEST ISLIP
State NY
ZIP 11795
Accounting period End 12
Primary contact name MICHAEL INGOGLIA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL INGOGLIA
CHAIRMAN
123 WEST 3RD STREET
WEST ISLIP NY 11795

Organization’s website LONGISLANDHLSA@GMAIL.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/30/2009
Organization Incorporation State MH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
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 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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