FORM 1023-EZ for KOENIG CHILDHOOD CANCER FOUNDATIONINC

Field Data
EIN 84-4892279
Case Number EO-2020072-000277
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KOENIG CHILDHOOD CANCER FOUNDATIONINC
Organization’s Mailing Address 1175 YORK AVE 15E
City NEW YORK
State NY
ZIP 10065
Accounting period End 12
Primary contact name RENA KOENIG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RENA KOENIG
PRESIDENT
1175 YORK AVE 15E
NEW YORK NY 10065

Officer/Director/Trustee Two

SCOTT KOENIG
VICE PRESIDENT
1175 YORK AVE 15E
NEW YORK NY 10065

Officer/Director/Trustee Three

MIKE BLUMENFELD
DIRECTOR
500 EAST 77TH ST SUITE 2324
NEW YORK NY 10165

Officer/Director/Trustee Four

FRANK DELUCIA
DIRECTOR
4 GLEN LN
WESTON CT 06883-2308

Officer/Director/Trustee Five

CRISTINA MOTA
DIRECTOR
400 EAST 66TH STREET APT 12D
NEW YORK NY 10065

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/21/2020
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - 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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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 RENA KOENIG
Signature Title PRESIDENT
Signature Date 3/10/2020

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