FORM 1023-EZ for CENTRAL PARK INDEPENDENT LIVING CENTER INC

Field Data
EIN 82-5124793
Case Number EO-2018162-000194
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CENTRAL PARK INDEPENDENT LIVING CENTER INC
Organization’s Mailing Address 1325 FIFTH AVENUE
City NEW YORK
State NY
ZIP 10029
Accounting period End 12
Primary contact name JACK SHTEYNBERG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACK SHTEYNBERG
PRESIDENT
1325 FIFTH AVENUE
NY NY 10029

Officer/Director/Trustee Two

ANNA SHTEYNBERG
VICE PRESIDENT
1325 FIFTH AVENUE
NY NY 10029

Officer/Director/Trustee Three

ISABELLA LERNER
TREASURER
1325 FIFTH AVENUE
NY NY 10029

Officer/Director/Trustee Four

DOMINGO VAZQUEZ
SECRETARY
1325 FIFTH AVENUE
NY NY 10029

Officer/Director/Trustee Five

IRINA MARQUEZ
MEMBER
1325 FIFTH AVENUE
NY NY 10029

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/6/18
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 JACK SHTEYNBERG
Signature Title PRESIDENT
Signature Date 6/7/18

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