FORM 1023-EZ for LONG ISLAND FARM SANCTUARY INC

Field Data
EIN 82-4172184
Case Number EO-2018030-000225
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LONG ISLAND FARM SANCTUARY INC
Organization’s Mailing Address PO BOX 439
City KINGS PARK
State NY
ZIP 11754
Accounting period End 12
Primary contact name DAVID ALBRECHT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID ALBRECHT
EXEC. DIRECTOR
PO BOX 439
KINGS PARK NY 11754

Officer/Director/Trustee Two

CHRISTOPHER MULLER
VICE PRESIDENT
3 MIDWAY BLVD
PATCHOGUE NY 11772

Officer/Director/Trustee Three

ALECIA MOORE
VICE PRESIDENT
76 OAK STREET
WESTHAMPTON BCH NY 11978

Officer/Director/Trustee Four

HAROLD BOLLACI
LEGAL COUNSEL
393 OLD COUNTRY RD STE 203
CARLE PLACE NY 11514

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/26/18
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
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 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 DAVID ALBRECHT
Signature Title EXEC. DIRECTOR
Signature Date 1/28/18

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