FORM 1023-EZ for SIMIS HOUSE

Field Data
EIN 84-3549848
Case Number EO-2020154-000103
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SIMIS HOUSE
Organization’s Mailing Address 11917 SANDLAKE DR
City BOCA RATON
State FL
ZIP 33428-2519
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

MENACHEM KRINSKY
DIRECTOR/ PRESIDENT
11917 SANDLAKE DR
BOCA RATON FL 33428-2519

Officer/Director/Trustee Two

PERETZ KATZENELLENBOGEN
DIRECTOR
2811 CALANNE AVE
BATON ROUGE LA 70820-5406

Officer/Director/Trustee Three

YAACOV BISTON
DIRECTOR
6680 NW 76TH CT
PARKLAND FL 33067-2419

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/8/2019
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 MENACHEM KRINSKY
Signature Title DIRECTOR/ PRESIDENT
Signature Date 6/1/2020

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