FORM 1023-EZ for LONG ISLAND KAYAK BASS FISHING INC

Field Data
EIN 82-2278318
Case Number EO-2018256-000393
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LONG ISLAND KAYAK BASS FISHING INC
Organization’s Mailing Address 16 SELEY DR
City NORTH BABYLON
State NY
ZIP 11703
Accounting period End 12
Primary contact name RUSSELL WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANTHONY NOTAROBERTA
DIRECTOR
16 SELEY DRIVE
NORTH BABYLON NY 11703

Officer/Director/Trustee Two

LUIS VILLEGAS
DIRECTOR
16 SELEY DRIVE
NORTH BABYLON NY 11703

Officer/Director/Trustee Three

LEIF ROBERTSON
DIRECTOR
16 SELEY DRIVE
NORTH BABYLON NY 11703

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/24/17
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 ANTHONY NOTAROBERTA
Signature Title DIRECTOR
Signature Date 9/11/18

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