FORM 1023-EZ for CHABAD OF BOQUETE INC

Field Data
EIN 81-3669816
Case Number EO-2016267-000314
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHABAD OF BOQUETE INC
Organization’s Mailing Address 811 MONTGOMERY STREET
City BROOKLYN
State NY
ZIP 11213
Accounting period End 12
Primary contact name AARON POLIWODA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARTIN POLIWODA
DIRECTOR
20225 NE 34 CT
AVENTURA FL 33180

Officer/Director/Trustee Two

JACOB POLIWODA
ASSISTANT DIRECTOR
20225 NE 34 CT
AVENTURA FL 33180

Officer/Director/Trustee Three

AARON POLIWODA
SECRETARY, TREASURER
811 MONTGOMERY STREET
BROOKLYN NY 11213

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/9/2016
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
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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