FORM 1023-EZ for TABERNACLE HSA
| Field | Data |
|---|---|
| EIN | 81-3785598 |
| Case Number | EO-2017005-000224 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | TABERNACLE HSA |
| Organization’s Mailing Address | 141 NEW ROAD |
| City | TABERNACLE |
| State | NJ |
| ZIP | 08088 |
| Accounting period End | 6 |
| Primary contact name | JENNIFER QUARTARONE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JENNIFER QUARTARONE
PRESIDENT
703 CHATSWORTH ROAD
TABERNACLE NJ 08088
Officer/Director/Trustee Two
MICHELE BOTTIGLIERI
TREASURER
12 WORREL ROAD
TABERNACLE NJ 08088
Officer/Director/Trustee Three
AMY LEPSIS
SECRETARY
28 FOX HILL DRIVE
TABERNACLE NJ 08088
| Organization’s website | |
|---|---|
| Organization’s email | TABERNACLEHSA@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/8/2016 |
| Organization Incorporation State | NJ |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B94 - Parent/Teacher Group |
| Organization’s purpose | Charitable: No Religious: No Educational: Yes 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 | 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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