FORM 1023-EZ for FRIENDS OF THE WARSAW SHALOM FOUNDATION

Field Data
EIN 26-4520079
Case Number EO-2015257-000447
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS OF THE WARSAW SHALOM FOUNDATION
Organization’s Mailing Address 401 BROADWAY
City NEW YORK
State NY
ZIP 10013
Accounting period End 12
Primary contact name PAUL D DYKSTRA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PAUL DYKSTRA
SECRETARY
3470 N LAKE SHORE DRIVE UNIT 20C
CHICAGO IL 60657

Officer/Director/Trustee Two

RIVKA OSTASZEWSKI
PRESIDENT
10 SYCAMORE TERRACE
SPRINGFIELD NJ 07081

Officer/Director/Trustee Three

SIGMUNT ROLAT
CHAIRMAN
401 BROADWAY
NEW YORK NY 10013

Officer/Director/Trustee Four

AVNER YONAI
TREASURER
PO BOX 280317
SAN FRANCISCO CA 94128

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/23/2008
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W11 - Single Organization Support
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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