FORM 1023-EZ for NJ HEALTH CARE FOUNDATION INC

Field Data
EIN 47-4080305
Case Number EO-2015146-000418
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NJ HEALTH CARE FOUNDATION INC
Organization’s Mailing Address 16 WELDON RD
City EDISON
State NJ
ZIP 08817
Accounting period End 12
Primary contact name KRISHNAKANT SANGANI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NATVERLAL PATEL
TRUSTEE AND PRES
16 WELDON ROAD
EDISON NJ 08817

Officer/Director/Trustee Two

HEMANT PATEL MD
TRUSTEE AND CHAIRMAN
3 SHERWOOD CT
LIVINGSTON NJ 07039

Officer/Director/Trustee Three

KRISHNAKANT SANGANI
TRUSTEE AND TREASURER
3 FALCON DR
EDISON NJ 08820

Officer/Director/Trustee Four

DIPAK SHAH
TRUSTEE
168 MIDWOOD WAY
COLONIA NJ 07067

Officer/Director/Trustee Five

RASIK PATEL MD
TRUSTEE
24 REVERE BLVD
EDISON NJ 08820

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/22/2015
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 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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