FORM 1023-EZ for LONG ISLAND GREYHOUND CONNECTION INC

Field Data
EIN 47-3125072
Case Number EO-2015071-000003
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LONG ISLAND GREYHOUND CONNECTION INC
Organization’s Mailing Address 18 ALDERFIELD LANE
City MELVILLE
State NY
ZIP 11747
Accounting period End 12
Primary contact name WILLIAM BIRD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KATHLEEN FREGENTI
PRESIDENT/DIRECTOR
18 ALDERFIELD LANE
MELVILLE NY 11747

Officer/Director/Trustee Two

DON BALDWIN
1ST VICE PRESIDENT/DIRECTOR
17 ROY DRIVE
NESCONSENT NY 11767

Officer/Director/Trustee Three

IRIS MOSHER
2ND VICE PRESIDENT/DIRECTOR
17 SEABROOK LANE
STONY BROOK NY 11790

Officer/Director/Trustee Four

DONNA TERRUSA
TREASURER/DIRECTOR
82 NIMS AVENUE
WEST BABYLON NY 11704

Officer/Director/Trustee Five

LEIF RUBINSTEIN
SECRETARY/DIRECTOR
5 LILY DRIVE
SOUTH SETAUKET NY 11720

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/29/2015
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
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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