FORM 1023-EZ for COLD SPRING HARBOR SPECIAL EDUCATION PARENT TEACHER ORGANIZATION

Field Data
EIN 82-1094011
Case Number EO-2017215-000619
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COLD SPRING HARBOR SPECIAL EDUCATION PARENT TEACHER ORGANIZATION
Organization’s Mailing Address 75 GOOSEHILL RD
City COLD SPRING HARBOR
State NY
ZIP 11724
Accounting period End 7
Primary contact name TARA BELFI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TARA BELFI
PRESIDENT
1243 MOORES HILL RD
LAUREL HOLLOW NY 11791

Officer/Director/Trustee Two

RHONDA SUTARIA
VICE PRESIDENT
99 LAWRENCE HILL RD
COLD SPRING HARBOR NY 11724

Officer/Director/Trustee Three

KRISTINE JACOBSON
TREASURER
1180 COVE EDGE ROAD
OYSTER BAY COVE NY 11791

Officer/Director/Trustee Four

DIANA GILENO
SECRETARY
86 CHERRY LANE
SYOSSET NY 11791

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/17/2017
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B20 - Elementary, Secondary Education, K - 12
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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