FORM 1023-EZ for JSM FUND INC

Field Data
EIN 85-3460453
Case Number EO-2020296-000451
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JSM FUND INC
Organization’s Mailing Address 17635 NE 8TH PLACE
City N MIAMI BEACH
State FL
ZIP 33162-2118
Accounting period End 12
Primary contact name SHAI GOLDSTEIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBORAH DAVIDZADA
DIRECTOR / PRESIDENT
17635 NE 8TH PLACE
N MIAMI BEACH FL 33162-2118

Officer/Director/Trustee Two

RABBI RONI DAVIDZADA
VP / DIRECTOR
17635 NE 8TH PLACE
N MIAMI BEACH FL 33162-2118

Officer/Director/Trustee Three

RACHEL SHULAMITH TENENBAUM
DIRECTOR
17520 NE 9TH AVE
N MIAMI BEACH FL 33162-2123

Officer/Director/Trustee Four

AGUEDA LEON
DIRECTOR
18140 NE 10 AVE
N MIAMI BEACH FL 33162-1270

Officer/Director/Trustee Five

RASHA Z WENGER
DIRECTOR
20594 NW 13TH AVE
MIAMI FL 33169-2483

Organization’s website DEVORAH@JSMFUND.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/14/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X30 - Jewish
Organization’s purpose Charitable: Yes
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 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 DEBORAH DAVIDZADA
Signature Title DIRECTOR / PRESIDENT
Signature Date 10/18/2020

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