FORM 1023-EZ for BORO PARK SHOMRIM INC

Field Data
EIN 83-3705815
Case Number EO-2019059-000478
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BORO PARK SHOMRIM INC
Organization’s Mailing Address 3618 14TH AVE
City BROOKLYN
State NY
ZIP 11218
Accounting period End 12
Primary contact name JACOB GLICK CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMUEL FOLLMAN
DIRECTOR & PRESIDENT
3618 14TH AVE
BROOKLYN NY 11218

Officer/Director/Trustee Two

RABBI BERISH FREILECH
CHAIRMAN, BOARD OF DIRECTORS
3618 14TH AVE
BROOKLYN NY 11218

Officer/Director/Trustee Three

MARK KATZ
EXECUTIVE DIRECTOR
3618 14TH AVE
BROOKLYN NY 11218

Officer/Director/Trustee Four

ABRAHAM BRAUNER
TREASURER
3618 14TH AVE
BROOKLYN NY 11218

Officer/Director/Trustee Five

HERSHEL KAHAN
DIRECTOR
3618 14TH AVE
BROOKLYN NY 11218

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/19/19
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M99 - Public Safety, Disaster Preparedness, and Relief N.E.C.
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ABRAHAM BRAUNER
Signature Title TREASURER
Signature Date 2/26/19

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