FORM 1023-EZ for GENOCIDE SURVIVORS FOUNDATION

Field Data
EIN 47-2402876
Case Number EO-2015016-000106
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GENOCIDE SURVIVORS FOUNDATION
Organization’s Mailing Address C/O DUANE MORRIS LLP -1540 BROADWAY
City NEW YORK
State NY
ZIP 10036-4086
Accounting period End 12
Primary contact name ELAINE SIMEON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JACQUELINE MUREKATETE
PRESIDENT
484 67TH STREET APT B1
BROOKLYN NY 11220-4952

Officer/Director/Trustee Two

GERALD WEISSMAN
TREASURER
101 HAGERMAN COURT
BRIDGEWATER NJ 08807-1673

Officer/Director/Trustee Three

ELIZABETH EDELSTEIN
BOARD SECRETARY
36 PLAZA STREET EAST
BROOKLYN NY 11238-5048

Officer/Director/Trustee Four

VICTOR GRUBER
OFFICER
2828 EUROPA DRIVE
COSTA MESA CA 92626-3553

Officer/Director/Trustee Five

KAREN GRUBER
OFFICER
4827 GENTRY AVENUE
VALLEY VILLAGE CA 91607-3710

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/20/2014
Organization Incorporation State DE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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
Signature Title
Signature Date

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