FORM 1023-EZ for COPIAGUE COMMUNITY CARES INC

Field Data
EIN 46-4255077
Case Number EO-2015278-000392
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COPIAGUE COMMUNITY CARES INC
Organization’s Mailing Address 704 NARRAGANSETT DRIVE
City LINDENHURST
State NY
ZIP 11757
Accounting period End 12
Primary contact name THERESA KROLL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHARON FATTORUSSO
OFFICER
704 NARRAGANSETT DRIVE
LINDENHURST NY 11757

Officer/Director/Trustee Two

LORI PRISCO
OFFICER
32 DOLPHIN LANE
COPIAGUE NY 11726

Officer/Director/Trustee Three

DAGMAR MARINO
OFFICER
27 LAFAYETTE STREET
COPIAGUE NY 11726

Officer/Director/Trustee Four

THERESA KROLL
OFFICER
321 WALNUT STREET
LINDENHURST NY 11757

Organization’s website WWW.COPIAGUECARES.ORG
Organization’s email INFO@COMMUNITYCARES.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/14/2013
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F21 - Alcohol, Drug Abuse, Prevention 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 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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