FORM 1023-EZ for JEANETTE LEVINE BRIDAL GEMACH INC

Field Data
EIN 83-2241162
Case Number EO-2018305-000377
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JEANETTE LEVINE BRIDAL GEMACH INC
Organization’s Mailing Address 3325 WATER OAK STREET
City HOLLYWOOD
State FL
ZIP 33312
Accounting period End 12
Primary contact name ROBIN ANDISMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBIN ANDISMAN
DIRECTOR
3325 WATER OAK STREET
HOLLYWOOD FL 33312

Officer/Director/Trustee Two

CHANU GOLDIS
DIRECTOR
1121 NE 175TH STREET
N MIAMI BEACH FL 33162

Officer/Director/Trustee Three

GOLDIE BERMAN
DIRECTOR
4080 N 44TH AVENUE
HOLLYWOOD FL 33021

Officer/Director/Trustee Four

NICOLE JORDAN
DIRECTOR
3671 N 47TH AVENUE
HOLLYWOOD FL 33021

Officer/Director/Trustee Five

LORI WITTLIN
DIRECTOR
3881 N 44TH AVENUE
HOLLYWOOD FL 33021

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/16/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 ROBIN ANDISMAN
Signature Title DIRECTOR
Signature Date 10/30/18

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