FORM 1023-EZ for NORTH SHORE DRUG AWARENESS INC

Field Data
EIN 81-3670883
Case Number EO-2016300-000409
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTH SHORE DRUG AWARENESS INC
Organization’s Mailing Address 10 UNDINE RD
City ROCKY POINT
State NY
ZIP 11778
Accounting period End 12
Primary contact name TRACEY BUDD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRACEY BUDD
PRESIDENT
10 UNDINE RD
ROCKY POINT NY 11778

Officer/Director/Trustee Two

EDWARD FARRELL
VICE PRESIDENT
10 UNDINE RD
ROCKY POINT NY 11778

Officer/Director/Trustee Three

THERESA LEFFERMAN
SECRETARY
52 NELSON RD
SELDEN NY 11784

Organization’s website
Organization’s email NSDAA15@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/18/2016
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F21 - Alcohol, Drug Abuse, Prevention Only
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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