FORM 1023-EZ for SRB 770 RECOVERY KOLLEL INC

Field Data
EIN 85-1197272
Case Number EO-2020154-000101
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SRB 770 RECOVERY KOLLEL INC
Organization’s Mailing Address 9525 NW 49TH CT
City CORAL SPRINGS
State FL
ZIP 33067-1835
Accounting period End 12
Primary contact name SHAI GOLDSTEIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

YIGAL BITTON
DIRECTOR/ PRESIDENT
9525 NW 49TH CT
CORAL SPRINGS FL 33067-1835

Officer/Director/Trustee Two

AVIV WOLF
DIRECTOR
8913 NW 45TH CT
CORAL SPRINGS FL 33065-1754

Officer/Director/Trustee Three

DAVID LEVI
DIRECTOR
3501 BROKEN WOODS DR
CORAL SPRINGS FL 33065-1609

Organization’s website
Organization’s email GCMRB770@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/21/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X30 - Jewish
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 YIGAL BITTON
Signature Title DIRECTOR/ PRESIDENT
Signature Date 5/31/2020

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