FORM 1023-EZ for CHAMPAIGN-URBANA MIKVAH ASSOCIATION

Field Data
EIN 46-0857918
Case Number EO-2016319-000542
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHAMPAIGN-URBANA MIKVAH ASSOCIATION
Organization’s Mailing Address 503 E JOHN STREET
City CHAMPAIGN
State IL
ZIP 61820-5703
Accounting period End 6
Primary contact name EVA GINSBURG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAUL WEICHSEL
PRESIDENT, DIRECTOR
2812 S SALISBURY CT
CHAMPAIGN IL 61821-6929

Officer/Director/Trustee Two

GOLDIE TEICHTEL
VICE-PRESIDENT, DIRECTOR
603 W GREEN ST
CHAMPAIGN IL 61820-5012

Officer/Director/Trustee Three

EREZ COHEN
SECRETARY, DIRECTOR
406 E TOMARAS AVE
SAVOY IL 61874-9406

Officer/Director/Trustee Four

EVA GINSBURG
TREASURER, DIRECTOR
703 W VERMONT AVE
URBANA IL 61801-4826

Officer/Director/Trustee Five

BARUCH CYWIAK
DIRECTOR
1461 42ND ST
BROOKLYN NY 11219

Organization’s website MEILEAH.WEEBLY.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/15/2012
Organization Incorporation State IL
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
Signature Title
Signature Date

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