FORM 1023-EZ for NASSAU COUNTY SHOMRIM SOCIETY FOUNDATION INC

Field Data
EIN 47-4119093
Case Number EO-2015167-000166
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NASSAU COUNTY SHOMRIM SOCIETY FOUNDATION INC
Organization’s Mailing Address 1490 FRANKLIN AVENUE
City MINEOLA
State NY
ZIP 11501-4801
Accounting period End 12
Primary contact name SARAH BAIRD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GARY SHAPIRO
PRESIDENT
2950 CAMPBELL AVENUE
WANTAGH NY 11793-1755

Officer/Director/Trustee Two

ALAN HIRSCH
VICE PRESIDENT
10 SARINA DRIVE
COMMACK NY 11725-1806

Officer/Director/Trustee Three

ROBERT GALLY
TREASURER/SECRETARY
12 BAYBERRY DRIVE
PLAINVIEW NY 11803-6402

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/15/2015
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M03 - Professional Societies, Associations
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 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
Signature Title
Signature Date

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