| Field | Data |
|---|---|
| EIN | 83-4641292 |
| Case Number | EO-2019266-000489 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | DOMENICAS FOUNDATION FOR CHILDRENSHOSPICE AND PALLIATIVE CARE |
| Organization’s Mailing Address | 110 KETTLE CREEK ROAD |
| City | TOMS RIVER |
| State | NJ |
| ZIP | 8753 |
| 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 |
SUSAN PONTORIERO
PRESIDENT
110 KETTLE CREEK ROAD
TOMS RIVER NJ 8753
PAUL CALIENDO
SEC/TREASURER
110 KETTLE CREEK ROAD
TOMS RIVER NJ 8753
LISA CIRINCIONE
DIRECTOR
72 VEDDER AVENUE
STATEN ISLAND NY 10302
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/28/18 |
| Organization Incorporation State | NJ |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E86 - Patient Services - Entertainment, Recreation |
| 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 | 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 | SUSAN PONTORIERO |
| Signature Title | PRESIDENT |
| Signature Date | 9/20/19 |
| EIN | 83-4641292 |
| Case Number | EO-2019266-000489 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | DOMENICAS FOUNDATION FOR CHILDRENS HOSPICE AND PALLIATIVE CARE |
| Organization’s Mailing Address | 110 KETTLE CREEK ROAD |
| City | TOMS RIVER |
| State | NJ |
| ZIP | 8753 |
| 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 |
SUSAN PONTORIERO
PRESIDENT
110 KETTLE CREEK ROAD
TOMS RIVER NJ 8753
PAUL CALIENDO
SEC/TREASURER
110 KETTLE CREEK ROAD
TOMS RIVER NJ 8753
LISA CIRINCIONE
DIRECTOR
72 VEDDER AVENUE
STATEN ISLAND NY 10302
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/28/18 |
| Organization Incorporation State | NJ |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E86 - Patient Services - Entertainment, Recreation |
| 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 | 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 | SUSAN PONTORIERO |
| Signature Title | PRESIDENT |
| Signature Date | 9/20/19 |
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