FORM 1023-EZ for PILZNO INC

Field Data
EIN 84-3594311
Case Number EO-2020076-000157
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PILZNO INC
Organization’s Mailing Address 128 POPLAR STREET
City WEST HEMPSTEAD
State NY
ZIP 11552
Accounting period End 10
Primary contact name ZACHARY BLACHMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ZACHARY BLACHMAN
PRESIDENT
128 POPLAR STREET
WEST HEMPSTEAD NY 11552

Officer/Director/Trustee Two

SHMUEL MODES
VICE PRESIDENT
1523 43RD STREET
BROOKLYN NY 11219

Officer/Director/Trustee Three

SAMUEL GOLDBERG
SECRETARY
926 44TH STREET
BROOKLYN NY 11219

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/6/2019
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T11 - Single Organization Support
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 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 SHMUEL MODES
Signature Title VICE PRESIDENT
Signature Date 3/12/2020

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