FORM 1023-EZ for MAX GOLDBERG INSTITUE OF JEWISH IDENTITY AND IDEAS INCORPORATED

Field Data
EIN 81-2410164
Case Number EO-2016225-000141
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MAX GOLDBERG INSTITUE OF JEWISH IDENTITY AND IDEAS INCORPORATED
Organization’s Mailing Address 142 WEST END AVENUE SUITE 5P
City NEW YORK
State NY
ZIP 10023
Accounting period End 12
Primary contact name HARRIS TILEVITZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TEMIMA GOLDBERG SHULMAN
PRESIDENT/DIRECTOR
17 GOURLEY STREET
PASSAIC NJ 07055

Officer/Director/Trustee Two

RUTH WISEMAN
DIRECTOR
440 BROOK AVENUE
PASSAIC NJ 07055

Officer/Director/Trustee Three

HARRIS TILEVITZ
SECRETARY/DIRECTOR
142 WEST END AVENUE APT 5P
NEW YORK NY 10023

Organization’s website
Organization’s email VENDORHZT@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/19/2016
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: No
Religious: Yes
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 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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