FORM 1023-EZ for MIKVAH INTERNATIONAL INC

Field Data
EIN 47-4379299
Case Number EO-2015194-000143
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MIKVAH INTERNATIONAL INC
Organization’s Mailing Address 478 ALBANY AVE SUITE 128
City BROOKLYN
State NY
ZIP 11203
Accounting period End 12
Primary contact name ELOZOR RAICHIK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ELOZOR RAICHIK
DIRECTOR AND CEO
478 ALBANY AVE SUITE 128
BROOKLYN NY 11203

Officer/Director/Trustee Two

MENDEL SEREBRYANSKI
DIRECTOR
34 TURNER PLACE
ALBANY NY 12209

Officer/Director/Trustee Three

SHNEOR FRIDMAN
DIRECTOR
555 CROWN ST APT 3F
BROOKLYN NY 11213

Organization’s website
Organization’s email MIKVAHINT@MAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/4/2015
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X30 - Jewish
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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
Signature Title
Signature Date

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