FORM 1023-EZ for REMY REBEIZ YOUNG HEART CORP

Field Data
EIN 47-4780458
Case Number EO-2015236-000175
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name REMY REBEIZ YOUNG HEART CORP
Organization’s Mailing Address 4830 W PARK ROAD
City HOLLYWOOD
State FL
ZIP 33021
Accounting period End 12
Primary contact name JEAN RBEIZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JEAN RBEIZ
PRESIDENT
7630 BURFORD DR
MCLEAN VA 22102-2134

Officer/Director/Trustee Two

SYLVIA ELIAS
VICE PRESIDENT
7630 BURFORD DR
MCLEAN VA 22102-2134

Officer/Director/Trustee Three

DIALA RBEIZ
SECRETARY
1025 CADILLAC WAY APT 212
BURLINGAME CA 94010-8500

Officer/Director/Trustee Four

DIMA RBEIZ
TREASURER
1718 P STREET NW APT 712
WASHINGTON DC 20036-1330

Officer/Director/Trustee Five

KARIN FIKANI
ASSISTANT
1025 CADILLAC WAY APT 212
BURLINGAME CA 94010-8500

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/15/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
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 Yes
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
Signature Title
Signature Date

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