FORM 1023-EZ for LEV RACHAV INC

Field Data
EIN 81-2932589
Case Number EO-2016201-000471
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LEV RACHAV INC
Organization’s Mailing Address 9815 52ND AVE N
City ST PETERSBURG
State FL
ZIP 33708
Accounting period End 12
Primary contact name RANDY K STERNS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VIKTORIA ZALESOV
PRESIDENT / DIRECTOR
9815 52ND AVE N
ST PETERSBURG FL 33078

Officer/Director/Trustee Two

DVORA RIVKIN
VICE PRESIDENT / DIRECTOR
9815 52ND AVE N
ST PETERSBURG FL 33078

Officer/Director/Trustee Three

DIANA LOT
SECRETARY
9815 52ND AVE N
ST PETERSBURG FL 33078

Officer/Director/Trustee Four

VIKTORYA GUTKINA
DIRECTOR
9815 52ND AVE N
ST PETERSBURG FL 33078

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/20/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P84 - Ethnic, Immigrant Centers, 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 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
Signature Title
Signature Date

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