FORM 1023-EZ for SHABBAT CLUB SF

Field Data
EIN 83-2657137
Case Number EO-2018344-000440
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHABBAT CLUB SF
Organization’s Mailing Address 1107 BOSWORTH ST
City SAN FRANCISCO
State CA
ZIP 94131-2801
Accounting period End 12
Primary contact name SHAINA HAMMERMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAINA HAMMERMAN
CO-DIRECTOR
1107 BOSWORTH ST
SAN FRANCISCO CA 94131-2801

Officer/Director/Trustee Two

DEBORAH SOMMERS
CO-DIRECTOR
108 ELLSWORTH ST
SAN FRANCISCO CA 94110-5641

Officer/Director/Trustee Three

OCTAVIO DI SCIULLO
BOARD MEMBER
1107 BOSWORTH ST
SAN FRANCISCO CA 94131-2801

Officer/Director/Trustee Four

ADAM SAMUCHA
BOARD MEMBER
379 LISBON ST
SAN FRANCISCO CA 94112-2705

Organization’s website HTTPS://SHAINAHAMMERMAN.WIXSITE.COM/SHABBATCLUB
Organization’s email SHABBATCLUBSF@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/15
Organization Incorporation State CA
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: 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 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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SHAINA HAMMERMAN
Signature Title CO-DIRECTOR
Signature Date 12/7/18

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