FORM 1023-EZ for COMMACK COALITION OF CARING INC

Field Data
EIN 81-2532297
Case Number EO-2016134-000113
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COMMACK COALITION OF CARING INC
Organization’s Mailing Address 48 STONEHURST LANE
City DIX HILLS
State NY
ZIP 11746-7933
Accounting period End 6
Primary contact name DEBORAH GUBER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEBORAH VIRGA
PRESIDENT
2 BLUEGRASS LANE
COMMACK NY 11725-1402

Officer/Director/Trustee Two

DEBORAH GUBER
TREASURER
48 STONEHURST LANE
DIX HILLS NY 11746-7933

Officer/Director/Trustee Three

GINA SHALHOUB
SECRETARY
110 WICHARD BOULEVARD
COMMACK NY 11725-1728

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/2/2016
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S21 - Community Coalitions
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 Yes
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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