FORM 1023-EZ for CONG AVI EZRI CORP

Field Data
EIN 84-2957181
Case Number EO-2019281-000303
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CONG AVI EZRI CORP
Organization’s Mailing Address 5200 15TH AVE APT 4G
City BROOKLYN
State NY
ZIP 11219
Accounting period End 12
Primary contact name SHLOMA ASHKENAZI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHLOMA ASHKENAZI
OFFICER
5200 15TH AVE APT 4G
BROOKLYN NY 11219

Officer/Director/Trustee Two

MALKA ASHKENAZI
DIRECTOR
5200 15TH AVE APT 4G
BROOKLYN NY 11219

Officer/Director/Trustee Three

ELIMELECH FRIEDMAN
DIRECTOR
5902 17TH AVE
BROOKLYN NY 11204

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/28/19
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 Yes
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 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 SHLOMA ASHKENAZI
Signature Title OFFICER
Signature Date 10/6/19

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