FORM 1023-EZ for BEIT YOSEF ADDICTION TREATMENT SERVICES INC

Field Data
EIN 47-3223683
Case Number EO-2016235-000359
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BEIT YOSEF ADDICTION TREATMENT SERVICES INC
Organization’s Mailing Address 200 EAST 74TH ST STE 15F
City NEW YORK
State NY
ZIP 10021-3610
Accounting period End 6
Primary contact name RABBI ELLIE SHEMTOV
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELLIE SHEMTOV
PRESIDENT AND FOUNDER
69 MECHANIC STREET APT 3
FREEHOLD NJ 07728-2237

Officer/Director/Trustee Two

BARBARA HORN
SECRETARY
129 ELY CRESCENT
ROBBINSVILLE NJ 08691-4135

Officer/Director/Trustee Three

JERRY BLUM
TREASURER
200 EAST 74TH STREET 15F
NEW YORK NY 10021-3610

Officer/Director/Trustee Four

IRWIN HUBERMAN
DIRECTOR
40 HILL STREET
GLEN COVE NY 11542-2453

Organization’s website WWW.THEBEITYOSEF.ORG
Organization’s email RABBISHEMTOV@THEBEITYOSEF.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/3/2014
Organization Incorporation State NY
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 Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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