FORM 1023-EZ for THE RABBI SHLOMO CARLEBACH FOUNDATION INC

Field Data
EIN 84-1611318
Case Number EO-2014353-000269
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE RABBI SHLOMO CARLEBACH FOUNDATION INC
Organization’s Mailing Address 395 MARTLING AVENUE
City TARRYTOWN
State NY
ZIP 10591
Accounting period End 12
Primary contact name ELLIOTT A KLEINMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ELLIOTT KLEINMAN
PRESIDENT, TREASURER, DIRECTOR
395 Martling Avenue
tarrytown NY 10591-4712

Officer/Director/Trustee Two

NESHAMA CARLEBACH
VICE PRESIDENT, DIRECTOR
267 6TH STREET11G
BROOKLYN NY 11215

Officer/Director/Trustee Three

JOSHUA NELSON
SECRETARY, DIRECTOR
131 8TH STREET SUITE 10
BROOKLYN NY 11215

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/5/2001
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
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 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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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