FORM 1023-EZ for MOSDOS NESIVAS SHALOM INC

Field Data
EIN 47-3390644
Case Number EO-2015362-000203
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MOSDOS NESIVAS SHALOM INC
Organization’s Mailing Address 16 UNDERWOOD ROAD
City MONSEY
State NY
ZIP 10952
Accounting period End 12
Primary contact name HAROLD FRIEDMAN CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NAFTALI REICH
DIRECTOR
14 MANOR DRIVE
MONSEY NY 10952

Officer/Director/Trustee Two

ISAAC MARKSTEIN
DIRECTOR
16 UNDERWOOD ROAD
MONSEY NY 10952

Officer/Director/Trustee Three

ELCHANAN SILBER
DIRECTOR
5517 15TH AVENUE
BROOKLYN NY 11219

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/10/2015
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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