FORM 1023-EZ for JAVERBAUM WURGAFT HICKS KAHN WIKSTROM & SININS CHARITABLE FUND

Field Data
EIN 81-1174961
Case Number EO-2021064-002133
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JAVERBAUM WURGAFT HICKS KAHN WIKSTROM & SININS CHARITABLE FUND
Organization’s Mailing Address 505 MORRIS AVENUE
City SPRINGFIELD
State NJ
ZIP 07081
Accounting period End 12
Primary contact name ERIC KAHN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIC KAHN
PRESIDENT
505 MORRIS AVENUE
SPRINGFIELD NJ 07081

Officer/Director/Trustee Two

SCOTT SININS
VICE-PRESIDENT/TREASURER
505 MORRIS AVENUE
SPRINGFIELD NJ 07081

Officer/Director/Trustee Three

DAVID WIKSTROM
TRUSTEE
505 MORRIS AVENUE
SPRINGFIELD NJ 07081

Officer/Director/Trustee Four

RUBIN SININS
TRUSTEE
505 MORRIS AVENUE
SPRINGFIELD NJ 07081

Officer/Director/Trustee Five

ROBERT HICKS
TRUSTEE
505 MORRIS AVENUE
NORTH ARLINGTON NJ 07081

Organization’s website
Organization’s email DCARDOSO@LAWJW.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/22/2016
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T23 - Private Operating Foundations
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 Yes
Correctness Declaration Yes
Signature Name ERIC KAHN
Signature Title PRESIDENT
Signature Date 1/14/2021

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