FORM 1023-EZ for MASONIC LODGE ABSALOM OF DAVID

Field Data
EIN 22-3932712
Case Number EO-2019077-000608
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MASONIC LODGE ABSALOM OF DAVID
Organization’s Mailing Address 89 MONTICELLO AVENUE
City JERSEY CITY
State NJ
ZIP 7304
Accounting period End 12
Primary contact name ALONZO HOLLOWAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALONZO HOLLOWAY
PRESIDENT
89 MONTICELLO AVENUE
JERSEY CITY NJ 7304

Officer/Director/Trustee Two

RODNEY SHIPMAN
TREASURER
1165 HILLSIDE AVENUE
PLAINFIELD NJ 7060

Officer/Director/Trustee Three

GREGORY BANKS
VICE PRESIDENT
49 HILLSDALE RD
EAST BRUNSWICK NJ 8816

Officer/Director/Trustee Four

CHRISTOPHER FISHER
DIRECTOR
152 WAINWRIGHT STREET
HILLSIDE NJ 7205

Officer/Director/Trustee Five

CHARLIE ALSTON
SECRETARY
64 LAFAYETTE STREET
JERSEY CITY NJ 7304

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/30/06
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name ALONZO HOLLOWAY
Signature Title PRESIDENT
Signature Date 3/15/19

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