| Field | Data |
|---|---|
| EIN | 84-2846940 |
| Case Number | EO-2019261-000097 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | GARDEN STATE STREET MEDICINE INC |
| Organization’s Mailing Address | 1001 WHISPERING WAY UNIT 136 |
| City | ABERDEEN |
| State | NJ |
| ZIP | 7747 |
| Accounting period End | 12 |
| Primary contact name | ADIL MANZOOR |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
ADIL MANZOOR
PRESIDENT / DIRECTOR
1001 WHISPERING WAY UNIT 136
ABERDEEN NJ 7747
DIANA LARREA
TREASURER / DIRECTOR
1001 WHISPERING WAY UNIT 136
ABERDEEN NJ 7747
ASAD CHOHAN
SECRETARY / DIRECTOR
805 MOUNTAINE AVENUE APT A
SPRINGFIELD NJ 7081
ALI GOHEER
VICE PRESIDENT / DIRECTOR
97 S 3RD ST APT 5A
BROOKLYN NY 11249
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/26/19 |
| Organization Incorporation State | NJ |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E99 - Health - General and Rehabilitative N.E.C. |
| 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 | 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 | ADIL MANZOOR |
| Signature Title | PRESIDENT / DIRECTOR |
| Signature Date | 9/16/19 |
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