FORM 1023-EZ for SUSTAINABLE BERGEN

Field Data
EIN 47-4354831
Case Number EO-2015218-000017
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SUSTAINABLE BERGEN
Organization’s Mailing Address 56 SPRING ST
City LODI
State NJ
ZIP 07644
Accounting period End 12
Primary contact name JAKLIN GIRGIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JAKLIN GIRGIS
DIRECTOR/ TRUSTEES
56 SPRING ST
LODI NJ 07644

Officer/Director/Trustee Two

MICHAEL SOLIMAN
TRUSTEE
381 CENTRAL AVE
HACKENSACK NJ 07601

Officer/Director/Trustee Three

KATHLEN CARTER
TRUSTEE
24 HOWARD ST
LODI NJ 07644

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/22/2015
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 Yes
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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