FORM 1023-EZ for UNITED SHIELD OF DAVID

Field Data
EIN 83-4652915
Case Number EO-2019144-000136
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UNITED SHIELD OF DAVID
Organization’s Mailing Address 1930 VILLAGE CENTER CIR STE 3-14390
City LAS VEGAS
State NV
ZIP 89134
Accounting period End 12
Primary contact name SHMUEL MITZMANN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHMUEL MITZMANN
DIRECTOR
1930 VILLAGE CENTER CIR STE 3-14390
LAS VEGAS NV 89134

Officer/Director/Trustee Two

JONATHAN COHAN
DIRECTOR
1930 VILLAGE CENTER CIR STE 3-14390
LAS VEGAS NV 89134

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/8/19
Organization Incorporation State NV
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 SHMUEL MITZMANN
Signature Title DIRECTOR
Signature Date 5/22/19

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