FORM 1023-EZ for KEREN BROCHA

Field Data
EIN 82-4109159
Case Number EO-2018029-000267
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KEREN BROCHA
Organization’s Mailing Address 1270 E 19TH STREET APT 1M
City BROOKLYN
State NY
ZIP 11230
Accounting period End 12
Primary contact name GIL BEN-ARI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GIL BEN-ARI
DIRECTOR
1270 E 19TH ST APT 1M
BROOKLYN NY 11230

Officer/Director/Trustee Two

JUDAH LIBERMAN
OFFICER
2986 QUENTIN RD
BROOKLYN NY 11229

Officer/Director/Trustee Three

DAVID GOTTESMAN
OFFICER
1369 E 29TH STREET
BROOKLYN NY 11210

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/26/17
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - 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 Yes
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 GIL BEN-ARI
Signature Title DIRECTOR
Signature Date 1/25/18

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