FORM 1023-EZ for SHTIEBEL OSTROVA OUTREACH INC

Field Data
EIN 83-3650746
Case Number EO-2019134-000090
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHTIEBEL OSTROVA OUTREACH INC
Organization’s Mailing Address 2565 NE 207TH ST
City MIAMI
State FL
ZIP 33180
Accounting period End 12
Primary contact name RACHEL HABER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RACHEL HABER
PRESIDENT
2565 NE 207TH ST
MIAMI FL 33180

Officer/Director/Trustee Two

SHMUEL HABER
VICE PRESIDENT
2565 NE 207TH ST
MIAMI FL 33180

Officer/Director/Trustee Three

OVADIA TANK
DIRECTOR OF OPERATIONS
2551 N RAMPART APT 172
LAS VEAS NV 89128

Officer/Director/Trustee Four

HADASSAH RAMOS
ADMINISTRATIVE ASSISTANT
2630 NE 212TH TERRACE
MIAMI FL 33180

Organization’s website
Organization’s email SHTIEBELOSTROVAOUTREACH@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/20/19
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: Yes
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 RACHEL HABER
Signature Title PRESIDENT
Signature Date 5/12/19

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