FORM 1023-EZ for NJ BLAZE

Field Data
EIN 46-5183489
Case Number EO-2017117-000403
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NJ BLAZE
Organization’s Mailing Address 5 FERRO MONTE AVE
City KENVIL
State NJ
ZIP 07847
Accounting period End 4
Primary contact name OMAR RIVERA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

OMAR RIVERA
PRES
5 FERRO MONTE AVE
KENVIL NJ 07847

Officer/Director/Trustee Two

TOM FEURY
VP
6 IVY CREST LANE
ROCKAWAY NJ 07866

Officer/Director/Trustee Three

JAKE FEURY
SEC
6 IVY CREST LANE
ROCKAWAY NJ 07866

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/24/2014
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date
EIN 46-5183489
Case Number EO-2015299-000429
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NJ BLAZE
Organization’s Mailing Address 5 FERROMONTE AVE
City KENVIL
State NJ
ZIP 07847
Accounting period End 8
Primary contact name OMAR RIVERA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

OMAR RIVERA
PRESIDENT
5 FERROMONTE AVE
KENVIL NJ 07847

Officer/Director/Trustee Two

TOM FEURY
VICE PRESIDENT
6 IVY CREST LANE
ROCKAWAY NJ 07866

Officer/Director/Trustee Three

JAKE FEURY
SECRETARY
6 IVY CREST LANE
ROCKAWAY NJ 07866

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/24/2014
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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
Signature Title
Signature Date

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