FORM 1023-EZ for VISUALLY IMPAIRED PERSONS OF SUFFOLK INCORPORATED

Field Data
EIN 47-3805903
Case Number EO-2016334-000105
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name VISUALLY IMPAIRED PERSONS OF SUFFOLK INCORPORATED
Organization’s Mailing Address 1838 JULIA GOLDBACH AVENUE
City RONKONKOMA
State NY
ZIP 11779
Accounting period End 12
Primary contact name BERNARD FERRACANE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DONALD GOMEZ
CEO
1838 JULIA GOLDBACH AVENUE
RONKONKOMA NY 11779

Officer/Director/Trustee Two

BERNARD FERRACANE
TREASURER
170 EAST MADISON STREET
EAST ISLIP NY 11730-1313

Officer/Director/Trustee Three

SANDRA MAZZITELLI
SECRETARY
602 SARA CIRCLE
PORT JEFFERSON NY 11776

Officer/Director/Trustee Four

VICTOR NEISCH
DIRECTOR
840 GILLETTE DRIVE
EAST MARION NY 11939

Officer/Director/Trustee Five

MICHAEL JORDAN
DIRECTOR
219 HILLRISE COURT
CALVERTON NY 11933

Organization’s website VIPS-LI.ORG
Organization’s email VIPS1838@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/24/2015
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y99 - Mutual/Membership Benefit Organizations, Other N.E.C.
Organization’s purpose Charitable: No
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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