FORM 1023-EZ for LAUREL HILL SCHOOL FOUNDATION

Field Data
EIN 46-1533027
Case Number EO-2015089-000093
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAUREL HILL SCHOOL FOUNDATION
Organization’s Mailing Address 174 SOUTH COUNTRY ROAD
City BELLPORT
State NY
ZIP 11713-2516
Accounting period End 12
Primary contact name KOCAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHN KOCAY
PRESIDENT
174 SOUTH COUNTRY ROAD
BELLPORT NY 11713-2516

Officer/Director/Trustee Two

MIHAIL NICHITIU
VICE PRESIDENT
15 SKYVIEW LANE
STONY BROOK NY 11790-1817

Officer/Director/Trustee Three

HELEN STARK
DIRECTOR
32 CONTESSA COURT
PORT JEFFERSON NY 11777-1463

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/30/2012
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
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 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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