FORM 1023-EZ for POWERARM ADULT CARE A NJ NONPROFITCORPORATION

Field Data
EIN 84-4729263
Case Number EO-2020049-000615
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name POWERARM ADULT CARE A NJ NONPROFITCORPORATION
Organization’s Mailing Address 176 WHITEHEAD AVE
City SOUTH RIVER
State NJ
ZIP 08882
Accounting period End 12
Primary contact name DR OWUSU KIZITO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMUEL DONKOR
BOARD MEMBER
62 PHILLIPS DR
OLD BRIDGE NJ 08857

Officer/Director/Trustee Two

IRENE DONKOR
BOARD MEMBER
1307 WESTMINSTER BLVD
PARLIN NJ 08859

Officer/Director/Trustee Three

MERCY DONKOR
BOARD MEMBER
62 PHILLIPS DR
OLD BRIDGE NJ 08857

Officer/Director/Trustee Four

THOMAS DONKOR
BOARD CHAIRMAN
176 WHITEHEAD AVE
SOUTH RIVER NJ 08882

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/14/2020
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 No
Correctness Declaration Yes
Signature Name THOMAS DONKOR
Signature Title BOARD CHAIRMAN
Signature Date 2/15/2020

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