FORM 1023-EZ for URBAN GROWING INSTITUTE INC

Field Data
EIN 81-4701454
Case Number EO-2017054-000367
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name URBAN GROWING INSTITUTE INC
Organization’s Mailing Address 3029 N E 188TH STREET APT 1107
City AVENTURA
State FL
ZIP 33180
Accounting period End 12
Primary contact name VERONICA PALTEROVICH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VERONICA PALTEROVICH
CHAIRMAN
3029 N E 188TH STREET APT 1107
AVENTURA FL 33180

Officer/Director/Trustee Two

VICTORIA DORMAN
DIRECTOR
3 HUCKLEBERRY DRIVE
PRINCETON NJ 08540

Officer/Director/Trustee Three

EDUARD ROGATSKY
DIRECTOR
18 LAKEVIEW AVENUE
RENSSELAER NY 12144

Officer/Director/Trustee Four

TATIANA KOUTCHMA
DIRECTOR
6609 NATASHA COURT
COUNTRYSIDE IL 60525

Officer/Director/Trustee Five

JONATHAN BLACK
DIRECTOR
811 N W 207TH STREET
MIAMI GARDENS FL 33169

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/17/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
Organization’s purpose Charitable: No
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
Signature Title
Signature Date

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