FORM 1023-EZ for THE GERBEN FOUNDATION INC

Field Data
EIN 83-2689517
Case Number EO-2020034-000072
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE GERBEN FOUNDATION INC
Organization’s Mailing Address 32 THORNWOOD LANE
City ROSLYN HEIGHTS
State NY
ZIP 11577-1617
Accounting period End 12
Primary contact name LYNN THOMPSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LYNN THOMPSON
PRESIDENT TREASURER DIRECTOR
32 THORNWOOD LANE
ROSLYN HEIGHTS NY 11577-1617

Officer/Director/Trustee Two

JAYA KUNNEL
VICE PRESIDENT & DIRECTOR
92 SEARINGTOWN ROAD
ALBERTSN NY 11507-1108

Officer/Director/Trustee Three

ANNELISE SUAREZ
SECRETARY & DIRECTOR
4 WILLOW STREET
BETHPAGE NY 11714-4326

Officer/Director/Trustee Four

LISA GORELICK SUAREZ
DIRECTOR
4 WILLOW STREET
BETHPAGE NY 11714-4326

Officer/Director/Trustee Five

BRUCE STEVENS
DIRECTOR
127 BULL PATH
EAST HAMPTON NY 11937-4602

Organization’s website GERBENFOUNDATION.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/30/2018
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D12 - Fund Raising and/or Fund Distribution
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 LYNN THOMPSON
Signature Title PRESIDENT TREASURER DIRECTOR
Signature Date 1/30/2020

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