FORM 1023-EZ for BLI METZURIM JBB FAMILY FOUNDATIONINC

Field Data
EIN 86-1736664
Case Number EO-2021089-000359
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLI METZURIM JBB FAMILY FOUNDATIONINC
Organization’s Mailing Address 11 EAHAL CT UNIT 304
City MONROE
State NY
ZIP 10950
Accounting period End 12
Primary contact name JOEL BERKOWITZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOEL BERKOWITZ
SETTLOR AND TRUSTEE
11 EAHAL CT UNIT 304
MONROE NY 10950

Officer/Director/Trustee Two

BAILA BERKOWITZ
SETTLOR AND TRUSTEE
11 EAHAL CT UNIT 304
MONROE NY 10950

Officer/Director/Trustee Three

ELYA BERKOWITZ
SUCCESSOR TRUSTEE
11 EAHAL CT UNIT 304
MONROE NY 10950

Organization’s website
Organization’s email
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 1/28/2021
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 Yes
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 JOEL BERKOWITZ
Signature Title SETTLOR AND TRUSTEE
Signature Date 2/10/2021

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