FORM 1023-EZ for KZAKA AFFORDABLE HOUSING FOUNDATIONINC

Field Data
EIN 84-3193351
Case Number EO-2019331-000199
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KZAKA AFFORDABLE HOUSING FOUNDATIONINC
Organization’s Mailing Address 74 CARMAN STREET
City HEMPSTEAD
State NY
ZIP 11550
Accounting period End 12
Primary contact name MARK DEL GUERCIO EA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARIE PETIT BLANC
DIRECTOR
74 CARMAN STREET
HEMPSTEAD NY 11550

Officer/Director/Trustee Two

STAEL PETIT BLANC
DIRECTOR
74 CARMAN STREET
HEMPSTEAD NY 11550

Officer/Director/Trustee Three

FABIAN PETIT BLANC
DIRECTOR
74 CARMAN STREET
HEMPSTEAD NY 11550

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/17/19
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: Yes
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 MARIE PETIT BLANC
Signature Title DIRECTOR
Signature Date 11/25/19

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