FORM 1023-EZ for FOURTH WATCH MC RARITAN VALLEY

Field Data
EIN 81-3459822
Case Number EO-2021089-001332
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FOURTH WATCH MC RARITAN VALLEY
Organization’s Mailing Address 123
City RAHWAY
State NJ
ZIP 07065-0123
Accounting period End 12
Primary contact name MICHAEL CARRIG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL CARRIG
PRESIDENT
321 MADISON HILL ROAD
CLARK NJ 07066

Officer/Director/Trustee Two

ADRIENNE LIH
SECRETARY
321 MADISON HILL ROAD
CLARK NJ 07066

Officer/Director/Trustee Three

THOMAS ZUB
TREASURER
925 RARITAN ROAD
CLARK NJ 07066

Officer/Director/Trustee Four

MICHAEL WALKO
VICE PRESIDENT
1581 COOPER ROAD
SCOTCH PLAINS NJ 07076

Organization’s website https://www.facebook.com/FWMCraritanvalley/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/4/2016
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: Yes
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 Yes
Gaming Activity No
Disaster relief assistance Yes
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 MICHAEL CARRIG
Signature Title PRESIDENT
Signature Date 2/14/2021

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