FORM 1023-EZ for KEREN ZICHRON DOV INC

Field Data
EIN 83-4128527
Case Number EO-2019347-000224
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KEREN ZICHRON DOV INC
Organization’s Mailing Address 41 DECATUR AVE SUITE 102
City SPRING VALLEY
State NY
ZIP 10977
Accounting period End 12
Primary contact name EFRAIM ZELIKOVITZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EFRAIM ZELIKOVITZ
DIRECTOR
41 DECATUR AVE SUITE 102
SPRING VALLEY NY 10977

Officer/Director/Trustee Two

HERMAN GOTTDENGER
BOARD MEMBER
46 MAIN ST SUITE 223
MONSEY NY 10952

Officer/Director/Trustee Three

YOSEF ASKAL
BOARD MEMBER
31 BLUEFIELD DR SUITE 303
SPRING VALLEY NY 10977

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/25/2019
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 Yes
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 EFRAIM ZELIKOVITZ
Signature Title DIRECTOR
Signature Date 12/11/2019

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