FORM 1023-EZ for ASSOCIATION OF FORMER NEW YORK STATE TROOPERS -LONG ISLAND CHAPTER INC

Field Data
EIN 82-4972172
Case Number EO-2018107-000842
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ASSOCIATION OF FORMER NEW YORK STATE TROOPERS -LONG ISLAND CHAPTER INC
Organization’s Mailing Address 133 OHLS STREET
City NORTH PATCHOGUE
State NY
ZIP 11772-1120
Accounting period End 12
Primary contact name PETER KRAMER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GERALD TIERNAN
PRESIDENT
133 OHLS STREET
NORTH PATCHOGUE NY 11772-1120

Officer/Director/Trustee Two

MIKE DISILVIO
VICE PRESIDENT
45605 MAIN ROAD
SOUTHHOLD NY 11971

Officer/Director/Trustee Three

DON HENN
SECRETARY TREASURER
65 LOOKOUT DRIVE
SOUND BEACH NY 11789

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/5/18
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y42 - Domestic Fraternal Societies
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name GERALD TIERNAN
Signature Title PRESIDENT
Signature Date 3/29/18

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