FORM 1023-EZ for ZICHRON CHAIM YECHEZKEL INC

Field Data
EIN 85-3286090
Case Number EO-2021088-000611
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ZICHRON CHAIM YECHEZKEL INC
Organization’s Mailing Address 4 GAIL COURT
City SPRING VALLEY
State NY
ZIP 10977
Accounting period End 12
Primary contact name BEENA SOIEFER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ABRAHAM MENARD POLLAK
PRESIDENT
4 GAIL COURT
SPRING VALLEY NY 10977

Officer/Director/Trustee Two

Y SCHICK
SECRETARY
17 ORIOLE STREET
CHESTNUT RIDGE NY 10977

Officer/Director/Trustee Three

SIDNEY SZYDLOW
TREASURER
118 WEST MAPLE AVE
MONSEY NY 10952

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/30/2020
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
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 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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ABRAHAM MENARD POLLAK
Signature Title PRESIDENT
Signature Date 2/12/2021

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