FORM 1023-EZ for PEAK POTENTIAL NON-PROFIT

Field Data
EIN 81-3957583
Case Number EO-2016273-000311
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PEAK POTENTIAL NON-PROFIT
Organization’s Mailing Address 218 N HARRISON AVE
City EDGEWATER PARK
State NJ
ZIP 08010
Accounting period End 12
Primary contact name TATIANA PEAK-GREGG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MEGHAN PAIGE
TRUSTEE
403 VILLINGER AVE
CINNAMINSON NJ 08077

Officer/Director/Trustee Two

MISTELLA PISTONE
TRUSTEE
171 MOHWAK TRAIL
MEDFORD LAKES NJ 08055

Officer/Director/Trustee Three

STACIE REILLY
TRUSTEE
444 N 4TH STREET SUITE 204
PHILADELPHIA NJ 19123

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/26/2016
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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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