FORM 1023-EZ for STEVEN F KIMMEL FOUNDATION A NJ NONPROFIT CORPORATION

Field Data
EIN 83-2706074
Case Number EO-2018346-000249
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name STEVEN F KIMMEL FOUNDATION A NJ NONPROFIT CORPORATION
Organization’s Mailing Address 10 ROSS ROAD
City LIVINGSTON
State NJ
ZIP 7039
Accounting period End 12
Primary contact name SHIRA ROST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHIRA ROST
TRUSTEE
10 ROSS ROAD
LIVINGSTON NJ 7039

Officer/Director/Trustee Two

BRIAN ROST
TRUSTEE
10 ROSS ROAD
LIVINGSTON NJ 7039

Officer/Director/Trustee Three

MELISSA PRITSIOLAS
TRUSTEE
10 ROSS ROAD
LIVINGSTON NJ 7039

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/6/18
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F80 - Mental Health Association, Multipurpose
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SHIRA ROST
Signature Title TRUSTEE
Signature Date 12/10/18

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