FORM 1023-EZ for ANTONACCI FOUNDATION FOR SCOLIOSISCORRECTION INC

Field	Data
EIN	84-2910531
Case Number	EO-2019259-000903
Form 1023-EZ version	12018
Eligibility Worksheet	1
Organization Name	ANTONACCI FOUNDATION FOR SCOLIOSISCORRECTION INC
Organization’s Mailing Address	3100 PRINCETON PIKE BLDG 1-D
City	LAWRENCEVILLE
State	NJ
ZIP	8648-2300
Accounting period End	12
Primary contact name	MARK DARRYL ANTONACCI
Primary contact phone	[Hidden]
Primary contact phone extension	[Hidden]
Primary contact fax	[Hidden]
User fee submitted	$275.00

Officer/Director/Trustee One

MARK ANTONACCI
PRESIDENT/DIRECTOR
3100 PRINCETON PIKE BLDG 1-D
LAWRENCEVILLE NJ 8648-2300

Officer/Director/Trustee Two

ROBIN CAVUTO
TREASURER
3100 PRINCETON PIKE BLDG 1-D
LAWRENCEVILLE NJ 8648-2300

Officer/Director/Trustee Three

ANTHONY ANTONACCI
SECRETARY
3100 PRINCETON PIKE BLDG 1-D
LAWRENCEVILLE NJ 8648-2300

Officer/Director/Trustee Four

ALLISON HAAS
DIRECTOR
3100 PRINCETON PIKE BLDG 1-D
LAWRENCEVILLE NJ 8648-2300

Officer/Director/Trustee Five

CAITLIN ANTONACCI
DIRECTOR
3100 PRINCETON PIKE BLDG 1-D
LAWRENCEVILLE NJ 8648-2300

Organization’s website	N/A
Organization’s email	MDANTONACCI@YAHOO.COM
Organization Incorporated	Yes
Organization trust	No
Necessary Organizing Documents	Yes
Organization Incorporation Date	8/29/19
Organization Incorporation State	NJ
Contains Limitation	Yes
Does not expressly empower	Yes
Contains dissolution	Yes
National Taxonomy of Exempt Entities (NTEE) code	E80 - Health, General and Financing
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	MARK ANTONACCI
Signature Title	PRESIDENT/DIRECTOR
Signature Date	9/12/19
EIN	84-2910531
Case Number	EO-2019259-000903
Form 1023-EZ version	12018
Eligibility Worksheet	1
Organization Name	ANTONACCI FOUNDATION FOR SCOLIOSIS CORRECTION INC
Organization’s Mailing Address	3100 PRINCETON PIKE BLDG 1-D
City	LAWRENCEVILLE
State	NJ
ZIP	8648-2300
Accounting period End	12
Primary contact name	MARK DARRYL ANTONACCI
Primary contact phone	[Hidden]
Primary contact phone extension	[Hidden]
Primary contact fax	[Hidden]
User fee submitted	$275.00