FORM 1023-EZ for FRIENDS OF HATZOLAH ASHDOD DAROM

Field Data
EIN 36-4591594
Case Number EO-2017272-000200
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS OF HATZOLAH ASHDOD DAROM
Organization’s Mailing Address 1274 49TH STREET SUITE 243
City BROOKLYN
State NY
ZIP 11219
Accounting period End 12
Primary contact name MICHELE SCHWARTZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELE SCHWARTZ
EXECUTIVE DIRECTOR
1274 49TH ST SUITE 243
BROOKLYN NY 11206

Officer/Director/Trustee Two

MENACHEM WERNER
FISCAL OFFICER
1271 45TH STREET
BROOKLYN NY 11219

Officer/Director/Trustee Three

HARRY FRIEDLAND
DIRECTOR
191 PENN STREET
BROOKLYN NY 11211

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/17/2006
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X30 - Jewish
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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