FORM 1023-EZ for ISHSHAH S HOUSE INC

Field Data
EIN 84-4645524
Case Number EO-2020210-000132
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ISHSHAH S HOUSE INC
Organization’s Mailing Address 759 GREENE AVENUE APT 2A
City BROOKLYN
State NY
ZIP 11221
Accounting period End 12
Primary contact name CAROL SIMON-JOSEPH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GAIL DAVIS
PRESIDENT
430 WEST 154 STREET UNIT 1
NEW YORK NY 10038

Officer/Director/Trustee Two

LORNA KERR
TREASURER
1460 BRYANT AVENUE 2ND FL
BRONX NY 10460

Officer/Director/Trustee Three

MARCIA DAVID
SECRETARY
1301 EAST 55 STREET
BROOKLYN NY 11234

Officer/Director/Trustee Four

CAROL SIMON-JOSEPH
DIRECTOR
759 GREENE AVENUE APT 2A
BROOKLYN NY 11221

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/9/2020
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P43 - Family Violence Shelters, Services
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance Yes
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CAROL SIMON-JOSEPH
Signature Title DIRECTOR
Signature Date 7/23/2020

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