FORM 1023-EZ for THE COMMUNITY OLIVE BRANCH

Field Data
EIN 86-2409977
Case Number EO-2021095-000867
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE COMMUNITY OLIVE BRANCH
Organization’s Mailing Address 59 STEDWICK VILLAGE
City BUD LAKE
State NJ
ZIP 07828
Accounting period End 2
Primary contact name CHAVONDA JACKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHAVONDA JACKSON
MANAGING MEMBER
59 STEDWICK VILLAGE
BUD LAKE NJ 07828

Officer/Director/Trustee Two

RAQUELE STRICKLAND
MEMBER
11 ALCREST AVE
BUDD LAKE NJ 07828

Officer/Director/Trustee Three

CRAIG WRIGHT
MEMBER
185 RUTLEDGE AVE
EAST ORANGE NJ 07017

Officer/Director/Trustee Four

KELLY JONES
MEMBER
5 MOUNTAINVIEW DRIVE
ANDOVER NJ 07821

Officer/Director/Trustee Five

JEFF ISSLER
MEMBER
23 ORCHARD PLACE
BUDD LAKE NJ 07828

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/4/2021
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F33 - Group Home, Residential Treatment Facility - Mental Health Related
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CHAVONDA JACKSON
Signature Title MANAGING MEMBER
Signature Date 3/5/2021

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