FORM 1023-EZ for MOSDOT ROSH HAGIVA FUND INC

Field Data
EIN 47-5474360
Case Number EO-2015317-000264
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MOSDOT ROSH HAGIVA FUND INC
Organization’s Mailing Address 606 EAST 2ND STREET
City BROOKLYN
State NY
ZIP 11218
Accounting period End 6
Primary contact name BONNIE SCHERTZ ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RABBI AVRAHAM KLITNICK
PRESIDENT
1666 46TH STREET
BROOKLYN NY 11204

Officer/Director/Trustee Two

YAKOV RUBINSTEIN
TREASURER
105 GROVE STREET
MONSEY NY 10952

Officer/Director/Trustee Three

BONNIE SCHERTZ
SECRETARY
166 EAST 96TH STREET
NEW YORK NY 10128

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/31/2015
Organization Incorporation State DE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 No
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 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
Signature Title
Signature Date

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