FORM 1023-EZ for SAFE SENSORY ROOM FOUNDATION

Field Data
EIN 84-4631172
Case Number EO-2020141-000160
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAFE SENSORY ROOM FOUNDATION
Organization’s Mailing Address 3650 NW 4TH AVE
City BOCA RATON
State FL
ZIP 33431
Accounting period End 12
Primary contact name TEHILA HECHT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TEHILA HECHT
PRESIDENT
3650 NW 4TH AVE
BOCA RATON FL 33431

Officer/Director/Trustee Two

ISRAEL HECHT
DIRECTOR
3650 NW 4TH AVE
BOCA RATON FL 33431

Officer/Director/Trustee Three

JOSEPH WADLER
DIRECTOR
3650 NW 4TH AVE
BOCA RATON FL 33431

Officer/Director/Trustee Four

BATSHEVA WASSER
DIRECTOR
3650 NW 4TH AVE
BOCA RATON FL 33431

Officer/Director/Trustee Five

ABBY ZUBKOUSKY-NELSON
DIRECTOR
3650 NW 4TH AVE
BOCA RATON FL 33431

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/18/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
Organization’s purpose Charitable: No
Religious: No
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 Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TEHILA HECHT
Signature Title PRESIDENT
Signature Date 5/18/2020

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