FORM 1023-EZ for THE LYME SOCIETY INC

Field Data
EIN 82-1203552
Case Number EO-2018106-000356
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE LYME SOCIETY INC
Organization’s Mailing Address PO BOX 131538
City STATEN ISLAND
State NY
ZIP 10313-1538
Accounting period End 12
Primary contact name ROBERT SABATINO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE SABATINO
BOARD MEMBER/PRESIDENT
125 FIELDSTONE ROAD
STATEN ISLAND NY 10314-3275

Officer/Director/Trustee Two

ED CHECKETT
BOARD MEMBER/SECRETARY
38 CLOVE LAKE PLACE
STATEN ISLAND NY 10310-4024

Officer/Director/Trustee Three

VASILIOS KOUNTIS
BOARD MEMBER/TREASURER AND VP
62 BUFFINGTON AVENUE
STATEN ISLAND NY 10312-4024

Officer/Director/Trustee Four

ROBERT SABATINO
EXECUTIVE DIRECTOR
125 FIELDSTONE ROAD
STATEN ISLAND NY 10314-3275

Organization’s website LYMESOCIETYINC.ORG
Organization’s email RSABATINO@LYMESOCIETYINC.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/11/17
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G01 - Alliance/Advocacy Organizations
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 ROBERT SABATINO
Signature Title EXECUTIVE DIRECTOR
Signature Date 4/10/18

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