FORM 1023-EZ for THE SAMUEL JONAS ANGEL FUND INC

Field Data
EIN 81-2417259
Case Number EO-2016190-000628
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE SAMUEL JONAS ANGEL FUND INC
Organization’s Mailing Address 1 CHERRY LANE
City WADING RIVER
State NY
ZIP 11792-1202
Accounting period End 12
Primary contact name BARBARA MASTRODDI EA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER CARROLL
DIRECTOR
1 CHERRY LANE
WADING RIVER NY 11792-1202

Officer/Director/Trustee Two

KATHERINE WOMER-BENJAMIN
DIRECTOR
22 EUGENE DR
KINGS PARK NY 11754

Organization’s website WWW.SAMUELJONAS.ORG
Organization’s email JENNIFERCARROLL614@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/13/2016
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F06 -
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 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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