FORM 1023-EZ for THE JACK MATTSSON FOUNDATION A NEW JERSEY NONPROFIT FOUNDATION

Field Data
EIN 82-5083706
Case Number EO-2018106-000141
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE JACK MATTSSON FOUNDATION A NEW JERSEY NONPROFIT FOUNDATION
Organization’s Mailing Address 224 PINELYNN ROAD
City GLEN ROCK
State NJ
ZIP 7452
Accounting period End 12
Primary contact name DEBRA E GUSTON ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RUDY MATTSSON
PRESIDENT
224 PINELYNN ROAD
GLEN ROCK NJ 7452

Officer/Director/Trustee Two

MAUREEN MATTSSON
SECRETARY
224 PINELYNN ROAD
GLEN ROCK NJ 7452

Officer/Director/Trustee Three

ERIK MATTSSON
TREASURER
224 PINELYNN ROAD
GLEN ROCK NJ 7452

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/4/18
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H12 - 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 Yes
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 RUDY MATTSSON
Signature Title PRESIDENT
Signature Date 4/6/18

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