FORM 1023-EZ for CONGREGATION SHAAREI TESHUVAH

Field Data
EIN 26-2806346
Case Number EO-2017215-000155
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CONGREGATION SHAAREI TESHUVAH
Organization’s Mailing Address POST OFFICE BOX 85840
City SEATTLE
State WA
ZIP 98145-1840
Accounting period End 12
Primary contact name MATTHEW R PERRY SECRATERY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RACHEL ROSENCRANTZ
PRESIDENT
6501 RAVENNA AVE NE
SEATTLE WA 98115-7068

Officer/Director/Trustee Two

LOUIS BLAUT
1ST VICE PREISDENT
2215 CALIFORNIA AVE SW
SEATTLE WA 98116

Officer/Director/Trustee Three

STEPHEN EISENSHANK
2ND VICE PRESIDENT
2405 PACIFIC AVE APT 27
TACOMA WA 98402

Officer/Director/Trustee Four

MATTHEW PERRY
SECRETARY TRESURAR
6501 RAVENNA AVE NE
SEATTLE WA 98115-7068

Officer/Director/Trustee Five

E JAY STOPPER
AT LARGE
327 NE 88TH ST
SEATTLE WA 98115

Organization’s website WWW.JPSI.ORG
Organization’s email JEWISHPRISONERSERVICES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/9/2008
Organization Incorporation State WA
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: 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 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
Signature Title
Signature Date

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