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CLEAN SLATE LIVING, INC.

Company Details

Name: CLEAN SLATE LIVING, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 10 Dec 2012 (12 years ago)
Entity Number: 4330455
ZIP code: 11751
County: Suffolk
Place of Formation: New York
Address: 124 TAMARACK STREET, ISLIP, NY, United States, 11751

DOS Process Agent

Name Role Address
MATTHEW PISANI DOS Process Agent 124 TAMARACK STREET, ISLIP, NY, United States, 11751

Filings

Filing Number Date Filed Type Effective Date
121210000595 2012-12-10 CERTIFICATE OF INCORPORATION 2012-12-10

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
80-0883804 Corporation Unconditional Exemption PO BOX 421, BOHEMIA, NY, 11716-0421 2014-07
In Care of Name % MATTHEW PISANI
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
Classification Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Deductibility Contributions are deductible.
Foundation Organization that receives a substantial part of its support from a governmental unit or the general public 170(b)(1)(A)(vi)
Tax Period 2024-09
Asset 1 to 9,999
Income 25,000 to 99,999
Filing Requirement 990 - Required to file Form 990-N - Income less than $50,000 per year
PF Filing Requirement No 990-PF return
Accounting Period Sep
Asset Amount 6285
Income Amount 33225
Form 990 Revenue Amount 33225
National Taxonomy of Exempt Entities Youth Development: Youth Development Programs
Sort Name -

Publication 78 Data

Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letter

Final Letter(s) FinalLetter_80-0883804_CLEANSLATELIVING_11152013_01.tif

Copies of Returns (990, 990-EZ, 990-PF, 990-T)

Organization Name CLEAN SLATE LIVING
EIN 80-0883804
Tax Period 202309
Filing Type E
Return Type 990EZ
File View File
Organization Name CLEAN SLATE LIVING
EIN 80-0883804
Tax Period 202209
Filing Type E
Return Type 990EZ
File View File
Organization Name CLEAN SLATE LIVING
EIN 80-0883804
Tax Period 202109
Filing Type E
Return Type 990EZ
File View File
Organization Name CLEAN SLATE LIVING
EIN 80-0883804
Tax Period 202009
Filing Type E
Return Type 990EZ
File View File
Organization Name CLEAN SLATE LIVING
EIN 80-0883804
Tax Period 201909
Filing Type P
Return Type 990EZ
File View File
Organization Name CLEAN SLATE LIVING
EIN 80-0883804
Tax Period 201909
Filing Type E
Return Type 990EZ
File View File
Organization Name CLEAN SLATE LIVING
EIN 80-0883804
Tax Period 201809
Filing Type P
Return Type 990EZ
File View File
Organization Name CLEAN SLATE LIVING
EIN 80-0883804
Tax Period 201709
Filing Type P
Return Type 990EZ
File View File
Organization Name CLEAN SLATE LIVING
EIN 80-0883804
Tax Period 201612
Filing Type E
Return Type 990EZ
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8563778401 2021-02-13 0235 PPS 124 Tamarack St, Islip, NY, 11751-1912
Loan Status Date 2021-09-28
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 6385
Loan Approval Amount (current) 6385
Undisbursed Amount 0
Franchise Name -
Lender Location ID 456756
Servicing Lender Name Cross River Bank
Servicing Lender Address 885 Teaneck Rd, TEANECK, NJ, 07666-4546
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Islip, SUFFOLK, NY, 11751-1912
Project Congressional District NY-02
Number of Employees 2
NAICS code 611699
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 456756
Originating Lender Name Cross River Bank
Originating Lender Address TEANECK, NJ
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 6419.11
Forgiveness Paid Date 2021-08-31
4575377805 2020-05-28 0235 PPP 124 TAMARACK ST, ISLIP, NY, 11751-1912
Loan Status Date 2021-08-11
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 4390
Loan Approval Amount (current) 4390
Undisbursed Amount 0
Franchise Name -
Lender Location ID 433860
Servicing Lender Name Quontic Bank
Servicing Lender Address 3105 Broadway, 2nd Fl, Astoria, NY, 11106
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Unanswered
Project Address ISLIP, SUFFOLK, NY, 11751-1912
Project Congressional District NY-02
Number of Employees 2
NAICS code 611430
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 529029
Originating Lender Name Intuit Financing Inc.
Originating Lender Address Mountainview, CA
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 4441.48
Forgiveness Paid Date 2021-08-02

Date of last update: 26 Mar 2025

Sources: New York Secretary of State