FORM 1023-EZ for SHALAMAR FOUNDATION INC

Field Data
EIN 47-1361420
Case Number EO-2014307-000155
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHALAMAR FOUNDATION INC
Organization’s Mailing Address 41 NOTRE DAME LANE
City UTICA
State NY
ZIP 13502
Accounting period End 12
Primary contact name CARL S DZIEKAN ESQ-CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ALAN J ROSENBLUM
DIRECTOR VP
41 NOTRE DAME LANE
UTICA NY 13502

Officer/Director/Trustee Two

MARY BETH ROSENBLUM
DIRECTOR PRESIDENT
41 NOTRE DAME LANE
UTICA NY 13502

Officer/Director/Trustee Three

ALEXANDER J ROSENBLUM
DIRECTOR
255 MASSACHUSETTS AVE UNIT 503
BOSTON MA 02115

Officer/Director/Trustee Four

SHONA ROSENBLUM
DIRECTOR
183 MASSACHUSETTS AVE UNIT 801
BOSTON MA 02115

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/17/2014
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B25 - Secondary, High School
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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