FORM 1023-EZ for ISLIP SMITHTOWN CHAPTER OF UNICO NATIONAL

Field Data
EIN 20-0384773
Case Number EO-2015345-000333
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ISLIP SMITHTOWN CHAPTER OF UNICO NATIONAL
Organization’s Mailing Address P O BOX 5354
City HAUPPAUGE
State NY
ZIP 11788-5354
Accounting period End 12
Primary contact name ELIZABETH HANSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ELIZABETH HANSEN
CHAIRMAN
127 ROOSEVELT BLVD
HAUPPAUGE NY 11788-4434

Officer/Director/Trustee Two

STEPHANIE FODERA
PRESIDENT
11 DILLMONT DRIVE
SMITHTOWN NY 11787

Officer/Director/Trustee Three

NICHOLAS ROMANO
SECRETARY
1831 FEUEREISEN AVE
RONKONKOMA NY 11779

Officer/Director/Trustee Four

JOSEPHINE FRANCO
TREASURER
66 RIVER HEIGHTS DR
SMITHTOWN NY 11787

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/29/2003
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T70 - Fund Raising Organizations That Cross Categories
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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