Mark an X in the appropriate box to indicate your type of organization: corporation, trust or foundation, limited liability company (LLC), credit union, or other.
Who signs: an officer, trustee, governing chief, or member of the ruling body of the organization must sign and date this application.
Box 1d (health maintenance organization): you must attach a copy of the certificate of authority issued by the New York State Health Department.
Federal Form 1023: do not attach federal Form 1023, Application for Recognition of Exemption.
Attachments: attach to this application a statement of activities, a statement of receipts and expenditures, and a statement of assets and liabilities.
| Question | Answer |
|---|---|
| Form Name | ST-119.2 |
| Form Length | 2 pages |
| Fillable? | Yes |
| Fillable fields | 43 |
| Avg. time to fill out | 8 min |
| Edition | Rev 6/25 |
| Issuing agency | Department of Taxation and Finance |
| Matches the agency's file | Yes, checked October 3, 2026 |
| Other names | ST-119.2, ST119.2, Form ST-119.2, ST 119.2, NYS exempt organization certificate, Application for an Exempt Organization Certificate |
| Official source | ST-119.2 (Rev 6/25), New York State Department of Taxation and Finance |
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