FORM 1023-EZ for GEMACH ZICHRON DOVID INC

Field Data
EIN 83-2844899
Case Number EO-2019029-000365
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GEMACH ZICHRON DOVID INC
Organization’s Mailing Address 415 ARLINGTON AVENUE
City LAKEWOOD
State NJ
ZIP 8701
Accounting period End 12
Primary contact name MARC M KLUGMANN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARC M KLUGMANN
TRUSTEE
415 ARLINGTON AVENUE
LAKEWOOD NJ 8701

Officer/Director/Trustee Two

BRIAN T SCHLESINGER
TRUSTEE
208 PRIVATE WAY
LAKEWOOD NJ 8701

Officer/Director/Trustee Three

GERSHON KAMENETSKY
TRUSTEE
2310 AVENUE L
BROOKLYN NY 11210

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/17/18
Organization Incorporation State NJ
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 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 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 MARC M KLUGMANN
Signature Title TRUSTEE
Signature Date 12/17/18

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