FORM 1023-EZ for ROSLYN HOUSE & WOMENS CENTER INC

Field Data
EIN 38-4028975
Case Number EO-2019217-000144
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROSLYN HOUSE & WOMENS CENTER INC
Organization’s Mailing Address 4 MARINERS WAY
City GLEN COVE
State NY
ZIP 11542
Accounting period End 12
Primary contact name ROSLYN PITT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROSLYN PITT
CHAIRMAN OF THE BOARD
4 MARINERS WAY
GLEN COVE NY 11542

Officer/Director/Trustee Two

SHANNIDA LETELLIER
PRESIDENT, DIRECTOR
545 HEMPSTEAD TURNPIKE AVE
UNIONDALE NY 11553

Officer/Director/Trustee Three

ELI NEGORE
VICE-PRESIDENT, DIRECTOR
4 MASON DRIVE APT 1C
GLEN COVE NY 11542

Officer/Director/Trustee Four

DEYNAAH LETELLIER
SECRETARY, DIRECTOR
2676 GRANT AVE
BALDWIN NY 11510

Officer/Director/Trustee Five

SHARAYAD LETELLIER
TREASURER, DIRECTOR
4 MARINERS WAY
GLEN COVE NY 11542

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/12/18
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P43 - Family Violence Shelters, 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 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 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 ROSLYN PITT
Signature Title CHAIRMAN OF THE BOARD
Signature Date 8/1/19

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