FORM 1023-EZ for ROOSEVELT COMMUNITY 4 U

Field Data
EIN 47-4510348
Case Number EO-2016012-000806
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROOSEVELT COMMUNITY 4 U
Organization’s Mailing Address 18 HOMESTEAD LANE
City ROOSEVELT
State NJ
ZIP 08555
Accounting period End 12
Primary contact name ROBERT GOLDFARB
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MOSHE HEZRONY
TRUSTEE
18 HOMESTEAD LANE
ROOSEVELT NJ 08555

Officer/Director/Trustee Two

SIVAN HEZRONY
TRUSTE
18 HOMESTEAD LANE
ROOSEVELT NJ 08555

Officer/Director/Trustee Three

RONALD GALE
TRUSTE
17A MARLEN DRIVE
HAMILTON NJ 08691

Organization’s website
Organization’s email MOSHE@COMMUNITY4U.US
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/29/2014
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K31 - Food Banks, Food Pantries
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 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
Signature Title
Signature Date

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