| Field | Data |
|---|---|
| EIN | 84-3739586 |
| Case Number | EO-2020049-000191 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CAITLYNS VISION INC |
| Organization’s Mailing Address | 3 FOREST STREET |
| City | MASTIC |
| State | NY |
| ZIP | 11950 |
| Accounting period End | 12 |
| Primary contact name | KIMBERLY MICHIELS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
KIMBERLY MICHIELS-SWICICKI
PRESIDENT
3 FOREST STREET
MASTIC NY 11950
MATTHEW MICHIELS
VICE PRESIDENT
74 SUNRISE COURT
MORICHES NY 11955
DARIN SWICICKI
BOARD MEMBER
3 FOREST STREET
MASTIC NY 11950
SAMANTHA GRAVIANO
SECRETARY
31 STONY HOLLOW LANE
RIDGE NY 11961
TRACY KUDEREWSKI
TREASURER
33 PENTMOORE DRIVE
MASTIC NY 11950
| Organization’s website | CAITLYNSVISION.ORG |
|---|---|
| Organization’s email | CAITLYNSVISION@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/12/2019 |
| Organization Incorporation State | NY |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | G41 - Eye Diseases, Blindness and Vision Impairments |
| 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 | Yes |
| 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 | KIMBERLY MICHIELS-SWICICKI |
| Signature Title | PRESIDENT |
| Signature Date | 2/13/2020 |
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