FORM 1023-EZ for VENTILATOR TASK FORCE INC

Field Data
EIN 85-0628284
Case Number EO-2020099-000159
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VENTILATOR TASK FORCE INC
Organization’s Mailing Address 6774 GARDE ROAD
City BOYNTON BEACH
State FL
ZIP 33472
Accounting period End 12
Primary contact name RONALD BERGRIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RONALD BERGRIN
CHAIRMAN
6774 GARDE ROAD
BOYNTON BEACH FL 33472-7300

Officer/Director/Trustee Two

RONALD BERGRIN
SECRETARY
6774 GARDE ROAD
BOYNTON BEACH FL 33472-7300

Officer/Director/Trustee Three

RONALD BERGRIN
TREASURER
6774 GARDE ROAD
BOYNTON BEACH FL 33472-7300

Officer/Director/Trustee Four

ALLEN YEFFETH
DIRECTOR
4540 CATAMARAN CIRCLE
BOYNTON BEACH FL 33436

Officer/Director/Trustee Five

LEONARD GOLDEN MD
DIRECTOR
218 WEST 72ND STREET APT 3RE
NEW YORK NY 10023-2843

Organization’s website
Organization’s email RBERGRIN@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/6/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E20 - Hospitals and Related Primary Medical Care Facilities
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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RONALD BERGRIN
Signature Title TREASURER
Signature Date 4/6/2020

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