FORM 1023-EZ for FAMILIES IN SUPPORT OF TREATMENT INC

Field Data
EIN 47-2440512
Case Number EO-2014349-000252
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FAMILIES IN SUPPORT OF TREATMENT INC
Organization’s Mailing Address 1741 INTERLAKE DRIVE
City WANTAGH
State NY
ZIP 11793
Accounting period End 10
Primary contact name ROBERT N BROWN CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANTHONY RIZZUTO
PRESIDENT
1741 INTERLAKE DRIVE
WANTAGH NY 11793

Officer/Director/Trustee Two

TERI KROLL
DIRECTOR
321 WALNUT STREET
LINDENHURST NY 11757

Officer/Director/Trustee Three

NANCY BECKETT LAWLESS
DIRECTOR
120 WILLOW STREET
SOUTHAMPTON NY 11968

Officer/Director/Trustee Four

CLAUDIA RAGNI
DIRECTOR
27 GRAND STREET
SMITHTOWN NY 11787

Officer/Director/Trustee Five

MICHAEL DELMAN
DIRECTOR
301 EAST MAIN STREET
BAYSHORE NY 11706

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/4/2014
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F22 - Alcohol, Drug Abuse, Treatment Only
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
Signature Title
Signature Date

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