FORM 1023-EZ for RUSSIAN COMMUNITY LEGAL ASSOCIATIONINC

Field Data
EIN 81-5279996
Case Number EO-2017041-000114
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RUSSIAN COMMUNITY LEGAL ASSOCIATIONINC
Organization’s Mailing Address 501 NE 14TH AVE APT 301
City HALLANDALE BEACH
State FL
ZIP 33009
Accounting period End 12
Primary contact name ALEXEY ANASYAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALEXEY BUSHUEV
PRESIDENT
334 SE 3RD ST
DANIA BEACH FL 33004

Officer/Director/Trustee Two

ALEXEY ANASYAN
TREASURER
501 NE 14TH AVE APT 301
HALLANDALE BEACH FL 33009

Officer/Director/Trustee Three

VADIM BALYBIN
SECRETARY
20515 E COUNTRY CLUB DR SUITE 1744
AVENTURA FL 33180

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/15/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P84 - Ethnic, Immigrant Centers, Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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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