FORM 1023-EZ for DOMESTIC VIOLENCE ACTION GROUP INC

Field Data
EIN 47-2177571
Case Number EO-2015078-000367
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DOMESTIC VIOLENCE ACTION GROUP INC
Organization’s Mailing Address 18 TIOGA COURT
City BORDENTOWN
State NJ
ZIP 08505
Accounting period End 12
Primary contact name KELLY RAMOS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KELLY RAMOS
TRUSTEE AND PRESIDENT
18 TIOGA COURT
BORDENTOWN NJ 08505

Officer/Director/Trustee Two

PAMELA LIVECCHI
TRUSTEE AND VICE PRESIDENT
367 EAST KINNEY STREET
NEWARK NJ 07105

Officer/Director/Trustee Three

FRANCINE NALBONE
TRUSTEE AND TREASURER
4 BIGELOW ROAD
HAMILTON NJ 08610

Officer/Director/Trustee Four

LAURA TOTTEN
TRUSTEE AND SECRETARY
175 CEDAR STREET
NORTH PLAINFIELD NJ 07060

Officer/Director/Trustee Five

ANDREA CHILSON
TRUSTEE
175 JOHNSON AVENUE 7B
LAWRENCEVILLE NJ 08648

Organization’s website WWW.DVAGUSA.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/2/2015
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I71 - Spouse Abuse, Prevention of
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence Yes
Compensation of Officer director trustee Yes
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 Yes
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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