FORM 1023-EZ for KOLLEL YERUSHALAYIM

Field Data
EIN 83-3996573
Case Number EO-2019093-000165
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KOLLEL YERUSHALAYIM
Organization’s Mailing Address 820 SAXONY COURT
City SAINT LOUIS
State MO
ZIP 63130
Accounting period End 12
Primary contact name MICHEAL FEIVELSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PNINA NITSUN
MEMBER
820 SAXONY COURT
ST. LOUIS MO 63130

Officer/Director/Trustee Two

HOWARD FEIVELSON
MEMBER
48 GROVE AVE
CEDARHURST NY 11516

Officer/Director/Trustee Three

MICHEAL FEIVELSON
OPERATOR
820 SAXONY COURT
ST. LOUIS MO 63130

Organization’s website
Organization’s email MICHALNITSUN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/18/19
Organization Incorporation State NJ
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MICHEAL FEIVELSON
Signature Title OPERATOR
Signature Date 4/1/19

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