FORM 1023-EZ for JEWISH HOME FOUNDATION

Field Data
EIN 80-0927200
Case Number EO-2018260-000451
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JEWISH HOME FOUNDATION
Organization’s Mailing Address 7150 TAMPA AVENUE
City RESEDA
State CA
ZIP 91335-3700
Accounting period End 8
Primary contact name LAUREN HAVERLOCK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ILENE SILBERMAN
CFO
7150 TAMPA AVENUE
RESEDA CA 91335-3700

Officer/Director/Trustee Two

MARY FORREST
PRESIDENT
7150 TAMPA AVENUE
RESEDA CA 91335-3700

Officer/Director/Trustee Three

RICHARD ZIMAN
CHAIR
7150 TAMPA AVENUE
RESEDA CA 91335-3700

Officer/Director/Trustee Four

STEVEN KLAPPHOLZ
SECRETARY
7150 TAMPA AVENUE
RESEDA CA 91335-3700

Officer/Director/Trustee Five

ALPERT HARVEY
MEMBER
7150 TAMPA AVENUE
RESEDA CA 91335-3700

Organization’s website WWW.JHA.ORG
Organization’s email INFO@JHA.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/26/12
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ILENE SILBERMAN
Signature Title CFO
Signature Date 9/14/18

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