FORM 1023-EZ for INSTITUTE FOR COMMUNITY WELLNESS INC

Field Data
EIN 84-3554145
Case Number EO-2020224-000182
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INSTITUTE FOR COMMUNITY WELLNESS INC
Organization’s Mailing Address 5500 FIELDSTON ROAD SUITE 6BB
City BRONX
State NY
ZIP 10471
Accounting period End 12
Primary contact name VADIM MOLDOVAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VADIM MOLDOVAN
PRESIDENT/DIRECTOR
5500 FIELDSTON ROAD APT 6BB
BRONX NY 10471

Officer/Director/Trustee Two

MATTHEW DINER
VICE PRESIDENT/TREASURER/DIRECTOR
13909 84TH DRIVE APT 505
JAMAICA NY 11435

Officer/Director/Trustee Three

WILLIAM DINVALE
SECRETARY/ DIRECTOR
27 CANOPUS ROAD
PUTNAM VALLEY NY 10579

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/19/2019
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 VADIM MOLDOVAN
Signature Title PRESIDENT/DIRECTOR
Signature Date 8/6/2020

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