FORM 1023-EZ for OPHTHALMICEDGE INC

Field Data
EIN 47-5340986
Case Number EO-2015344-000336
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OPHTHALMICEDGE INC
Organization’s Mailing Address 116 EAST 66TH STREET APT 10E
City NEW YORK
State NY
ZIP 10065
Accounting period End 12
Primary contact name MICHELLE LEWIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

YALE FISHER
DIRECTOR/PRESIDENT
116 EAST 66TH STREET APT 10E
NEW YORK NY 10065

Officer/Director/Trustee Two

MICHAEL ENGELBERT
DIRECTOR/SECRETARY
55 MORAN PLACE
LARCHMONT NY 10538-1021

Officer/Director/Trustee Three

HARRY FLYNN
DIRECTOR
9115 SW 59 PLACE
MIAMI FL 33156-2092

Officer/Director/Trustee Four

JOHN SORENSON
DIRECTOR/TREASURER
7 HEMLOCK DRIVE
GREAT NECK NY 11024-1639

Officer/Director/Trustee Five

JASON SLAKTER
DIRECTOR
57 MEADOW WOODS ROAD
GREAT NECK NY 11020-1327

Organization’s website WWW.OPTHALMICEDGE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/15/2015
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H41 - Eye Research
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
Signature Title
Signature Date

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