FORM 1023-EZ for PARKER A ORTMAN MEMORIAL FUND

Field Data
EIN 27-3359994
Case Number EO-2015048-000100
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PARKER A ORTMAN MEMORIAL FUND
Organization’s Mailing Address 1120 YELLOWOOD TERRACE
City MILLVILLE
State NJ
ZIP 08332-8867
Accounting period End 12
Primary contact name JEFFERY M ORTMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JEFFERY ORTMAN
TRUSTEE
1120 YELLOWOOD TERRACE
MILLVILLE NJ 08332-8867

Officer/Director/Trustee Two

MATTHEW BUESING
TRUSTEE
303 BENNETT AVENUE
CMCH NJ 08210-2207

Officer/Director/Trustee Three

JAMES ARSENAULT
TRUSTEE
4 MOORE ROAD
CMCH NJ 08210-1654

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/31/2010
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y12 - Fund Raising and/or Fund Distribution
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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