FORM 1023-EZ for MDCC 5 A NJ NONPROFIT CORPORATION

Field Data
EIN 81-4937341
Case Number EO-2020260-000361
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MDCC 5 A NJ NONPROFIT CORPORATION
Organization’s Mailing Address 1014 MAIN STREET
City ASBURY PARK
State NJ
ZIP 07712
Accounting period End 12
Primary contact name MONNIER LAVARIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MONNIER LAVARIN
PRESIDENT
20 MANOR DRIVE
NEPTUNE NJ 07753

Officer/Director/Trustee Two

ANERIQUE SAINVILUS
VICE-PRESIDENT
605 BINGHAM ST
NEPTUNE NJ 07753

Officer/Director/Trustee Three

ADELSON CIMEUS
TREASURER
900 RUTH
NEPTUNE NJ 07753

Officer/Director/Trustee Four

ERIC CELIUS
SECRETARY
2 1 RANDOLPH COURT
LONG BRANCH NJ 07740

Officer/Director/Trustee Five

MARCELIN LAVARIN
BOARD MEMBER
38 NATIONAL DR
BRICK NJ 08724

Organization’s website WWW.MDCC5.COM
Organization’s email MDCC5HT@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/19/2017
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q33 - International Relief
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 Yes
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 MONNIER LAVARIN
Signature Title PRESIDENT
Signature Date 9/14/2020

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