FORM 1023-EZ for COSMO CAES INC

Field Data
EIN 90-1025919
Case Number EO-2015140-000204
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COSMO CAES INC
Organization’s Mailing Address 140 BROADWAY
City MASSAPEQUA PARK
State NY
ZIP 11762-2347
Accounting period End 12
Primary contact name KERRI ROMEO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KERRI ROMEO
PRESIDENT AND DIRECTOR
140 BROADWAY
MASSAPEQUA PARK NY 11762-2347

Officer/Director/Trustee Two

DAWN KOSTAKIS
VICE PRESIDENT AND DIRECTOR
56 NEARWATER AVENUE
MASSAPEQUA NY 11758-8439

Officer/Director/Trustee Three

STEPHANIE HARTMAN
SECRETARY AND DIRECTOR
68 MICHIGAN AVENUE
MASSAPEQUA NY 11758-4831

Officer/Director/Trustee Four

DENISE BIANCO
TREASURER AND DIRECTOR
123 SPRUCE STREET
MASSAPEQUA PARK NY 11762-1738

Officer/Director/Trustee Five

GREG GOLDFEDER
DIRECTOR
16 MORRIS STREET
AMITYVILLE NY 11701-3518

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/2013
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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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