FORM 1023-EZ for STATEN ISLAND CHAVERIM INC

Field Data
EIN 85-0854003
Case Number EO-2020133-000147
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name STATEN ISLAND CHAVERIM INC
Organization’s Mailing Address 64 ROANOKE ST
City STATEN ISLAND
State NY
ZIP 10314
Accounting period End 12
Primary contact name DONIAL ROSENFELD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DONIAL ROSENFELD
DIRECTOR
64 ROANOKE STREET
STATEN ISLAND NY 10314

Officer/Director/Trustee Two

ELCHONON NEIMAN
DIRECTOR
64 ROANOKE STREET
STATEN ISLAND NY 10314

Officer/Director/Trustee Three

MORDECAI JOFFE
DIRECTOR
64 ROANOKE STREET
STATEN ISLAND NY 10314

Organization’s website CHAVERIMSI.ORG
Organization’s email SI05@CHAVERIMSI.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/3/2020
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
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 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 ELCHONON NEIMAN
Signature Title DIRECTOR
Signature Date 5/10/2020

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