FORM 1023-EZ for LONG ISLAND HEALTH EDUCATION CENTER

Field Data
EIN 81-0746489
Case Number EO-2016132-000122
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LONG ISLAND HEALTH EDUCATION CENTER
Organization’s Mailing Address 28 JOYCE AVENUE
City MASSAPEQUA
State NY
ZIP 11758
Accounting period End 12
Primary contact name MARIE MONCION
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARTINE MICHEL-TOURE
CHAIR
594 ROSE BLVD
BALDWIN NY 11510

Officer/Director/Trustee Two

MARIE MONCION
TREASURER
17 FELTON AVENUE
VALLEY STREAM NY 11580

Officer/Director/Trustee Three

DANIEL VELAZQUEZ
SECRETARY
161-04 HORACE HARDING EXPRESSWAY
FRESH MEADOWS NY 11635

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/12/2014
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E21 - Community Health Systems
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 Yes
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 Yes
One Third Support Gifts No
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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