FORM 1023-EZ for JEWISH IMPACT FOUNDATION

Field Data
EIN 83-1883964
Case Number EO-2018257-000493
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JEWISH IMPACT FOUNDATION
Organization’s Mailing Address PO BOX 721224
City BERKLEY
State MI
ZIP 48072
Accounting period End 12
Primary contact name DAVID GREENBERG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID GREENBERG
PRESIDENT, TREASURER, DIRECTOR
PO BOX 721224
BERKLEY MI 48072

Officer/Director/Trustee Two

CHANA GREENBERG
SECRETARY
PO BOX 721224
BERKLEY MI 48072

Officer/Director/Trustee Three

ARIC ZAMEL
DIRECTOR
PO BOX 721224
BERKLEY MI 48072

Officer/Director/Trustee Four

SETH STASZOWER
DIRECTOR
PO BOX 721224
BERKLEY MI 48072

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/5/18
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X30 - Jewish
Organization’s purpose Charitable: No
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 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 DAVID GREENBERG
Signature Title PRESIDENT, TREASURER, DIRECTOR
Signature Date 9/12/18

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