FORM 1023-EZ for LI HELPS SOBER LIVING INC

Field Data
EIN 81-4684899
Case Number EO-2016364-000154
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LI HELPS SOBER LIVING INC
Organization’s Mailing Address 57 SPIELMAN AVE
City FARMINGDALE
State NY
ZIP 11735
Accounting period End 12
Primary contact name EDWARD HAAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EDWARD HAAR
PRESIDENT
57 SPIELMAN AVE
FARMINGDALE NY 11735

Officer/Director/Trustee Two

LOUIS IACONA IACONA
VICE PRESIDENT
10 STATION DRIVE
WYANDANCH NY 11798

Officer/Director/Trustee Three

KEVIN ALTER
VICE PRESIDENT
10 STATION DRIVE
WYANDANCH NY 11798

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/2/2016
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L30 - Housing Search Assistance
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 No
One Third Support Gifts Yes
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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