FORM 1023-EZ for NEWARK COMMUNITY HEALTHY PET CLINICINC

Field Data
EIN 47-5140619
Case Number EO-2016034-000211
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NEWARK COMMUNITY HEALTHY PET CLINICINC
Organization’s Mailing Address 4 FREEMAN LANE
City DENVILLE
State NJ
ZIP 07834
Accounting period End 12
Primary contact name MEREDITH WALSH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DR JENNIFER LOUCKS
PRESIDENT
518 VAIL ROAD
LANDING NJ 07850

Officer/Director/Trustee Two

JENNIFER LAWTON
TREASURER
9 LONGVIEW AVE
RANDOLPH NJ 07869

Officer/Director/Trustee Three

DARLENE GNICHTEL
TRUSTEE
68 WEST END AVE
POMPTON PLAINS NJ 07444

Officer/Director/Trustee Four

LYNN WOODCOCK
TRUSTEE
155 OLIVE AVE
POMPTON LAKES NJ 07442

Officer/Director/Trustee Five

PATRICIA PAULTZ
TRUSTEE
14 MERCHANT STREET
NEWARK NJ 07105

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/3/2015
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D40 - Veterinary Services
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 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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