FORM 1023-EZ for CHAVERIM OF MIDDLESEX COUNTY

Field Data
EIN 82-3504252
Case Number EO-2018297-000147
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHAVERIM OF MIDDLESEX COUNTY
Organization’s Mailing Address 1514 PARKER ROAD
City HIGHLAND PARK
State NJ
ZIP 8904
Accounting period End 12
Primary contact name YOSEF GOLUBCHIK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

YOSEF GOLUBCHIK
PRESIDENT
1514 PARKER ROAD
HIGHLAND PARK NJ 8904-3744

Officer/Director/Trustee Two

JEFF KLEIN
SECRETARY
14 HARRISON STREET
EDISON NJ 8817-2907

Officer/Director/Trustee Three

DANI SABO
TREASURER
153 BROOKHILL AVE
EDISON NJ 8817-3059

Organization’s website
Organization’s email CHAVERIMMC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/14/17
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M42 - Automotive Safety
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 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 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 YOSEF GOLUBCHIK
Signature Title PRESIDENT
Signature Date 10/21/18

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