FORM 1023-EZ for SRS FOUNDATION

Field Data
EIN 84-3822152
Case Number EO-2019350-000232
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SRS FOUNDATION
Organization’s Mailing Address 869 DRIGGS AVE
City BROOKLYLN
State NY
ZIP 11211
Accounting period End 12
Primary contact name SHLOME SILBERSTEIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHLOME SILBERSTEIN
SETTLOR AND TRUSTEE
869 DRIGGS AVE
BROOKLYN NY 11211

Organization’s website
Organization’s email
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 11/28/2019
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SHLOME SILBERSTEIN
Signature Title SETTLOR AND TRUSTEE
Signature Date 12/12/2019

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