FORM 1023-EZ for BACKPACKS FOR LIFE INC

Field Data
EIN 47-1281873
Case Number EO-2014321-000573
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BACKPACKS FOR LIFE INC
Organization’s Mailing Address 55 SUNSET AVENUE
City VERONA
State NJ
ZIP 07044
Accounting period End 12
Primary contact name ROBERT KOSICKI ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRETT DALESSANDRO
TRUSTEE
55 SUNSET AVENUE
VERONA NJ 07044

Officer/Director/Trustee Two

ALEXA MODERO
TRUSTEE
35 ELMBROOK PLACE
BLOOMFIELD NJ 07003

Officer/Director/Trustee Three

KEVIN CLARKE
TRUSTEE
9847 HORACE HARDING EXPRESSWAY
CORONA NY 11368

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2014
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T19 - Nonmonetary Support N.E.C.
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 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
Signature Title
Signature Date

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