FORM 1023-EZ for ALBERT EINSTEIN COLLEGE OF MEDICINE

Field Data
EIN 32-0333736
Case Number EO-2015299-000456
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ALBERT EINSTEIN COLLEGE OF MEDICINE
Organization’s Mailing Address 1300 MORRIS PARK AVENUE
City BRONX
State NY
ZIP 10461-1931
Accounting period End 12
Primary contact name AMOS ORLOFSKY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JEFFREY SEGALL
SPEAKER
1301 MORRIS PARK AVENUE
BRONX NY 10461-1931

Officer/Director/Trustee Two

ELYSE SUSSMAN
VICE SPEAKER
1410 PELHAM PARKWAY SOUTH
BRONX NY 10461-1116

Officer/Director/Trustee Three

BRADFORD POULOS
SECRETARY
1410 PELHAM PARKWAY SOUTH
BRONX NY 10461-1116

Officer/Director/Trustee Four

AMOS ORLOFSKY
TREASURER
1300 MORRIS PARK AVENUE
BRONX NY 10461-1931

Organization’s website HTTPS://WWW.EINSTEIN.YU.EDU/ADMINISTRATION/SENATE/
Organization’s email JEFFREY.SEGALL@EINSTEIN.YU.EDU
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/12/1955
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
Organization’s purpose Charitable: No
Religious: No
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 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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