FORM 1023-EZ for TEMPLE ISRAEL OF LAWRENCE

Field Data
EIN 11-1667771
Case Number EO-2021244-000300
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TEMPLE ISRAEL OF LAWRENCE
Organization’s Mailing Address 140 CENTRAL AVENUE
City LAWRENCE
State NY
ZIP 11559
Accounting period End 6
Primary contact name ALAN FREEDMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DOUGLAS SEGAN
PRESIDENT
843 DICKENS STREET
WOODMERE NY 11598

Officer/Director/Trustee Two

PENNY SCHUSTER
FIRST VICE-PRESIDENT
21 WESTON PLACE
LAWRENCE NY 11559

Officer/Director/Trustee Three

FRED RUDIN
VICE-PRESIDENT
11 VANDERBILT WAY
NORTH WOODMERE NY 11581

Officer/Director/Trustee Four

ALAN KRIM
TREASURER
612 PARK LANE
CEDARHURST NY 11516

Organization’s website WWW.TILNY.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/3/1910
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X30 - Jewish
Organization’s purpose Charitable: No
Religious: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DOUGLAS SEGAN
Signature Title PRESIDENT
Signature Date 8/30/2021
EIN 11-1667771
Case Number EO-2017222-000501
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TEMPLE ISRAEL OF LAWRENCE
Organization’s Mailing Address 140 CENTRAL AVENUE
City LAWRENCE
State NY
ZIP 11559
Accounting period End 6
Primary contact name ALAN FREEDMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY PRICE
PRESIDENT
406 EASTWOOD ROAD
WOODMERE NY 11598

Officer/Director/Trustee Two

MARC ISSEKS
1ST VICE-PRESIDENT
1361 BROADWAY B31
HEWLETT NY 11557

Officer/Director/Trustee Three

DOUG SEGAN
VICE-PRESIDENT
843 DICKENS STREET
WOODMERE NY 11598

Officer/Director/Trustee Four

ELAINE PRUSACK
SECRETARY
181 WOODMERE BLVD SOUTH
WOODMERE NV 11598

Officer/Director/Trustee Five

ROSS WHITEHEAD
TREASURER
375 PENINSULA BLVD
LYNBROOK NY 11563

Organization’s website WWW.TILNY.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/16/1910
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X30 - Jewish
Organization’s purpose Charitable: No
Religious: Yes
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
Signature Title
Signature Date

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