FORM 1023-EZ for LICATA FAMILY FOUNDATION INC

Field Data
EIN 81-5065377
Case Number EO-2017026-000277
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LICATA FAMILY FOUNDATION INC
Organization’s Mailing Address 4 FOREST COURT
City OYSTER BAY COVE
State NY
ZIP 11791
Accounting period End 12
Primary contact name JOSEPH J LICATA III
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSEPH LICATA
EXECUTIVE DIRECTOR
4 FOREST COURT
OYSTER BAY COVE NY 11791

Officer/Director/Trustee Two

ANNETTE LICATA
DIRECTOR
4 FOREST COURT
OYSTER BAY COVE NY 11791

Officer/Director/Trustee Three

JOSEPH LICATA
DIRECTOR
3 THORMAN LANE
NORTH BABYLON NY 11703

Officer/Director/Trustee Four

PATRICIA LICATA
DIRECTOR
3 THORMAN LANE
NORTH BABYLON NY 11703

Organization’s website
Organization’s email LICATAFAMILYFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/20/2017
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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