FORM 1023-EZ for PHILLIPSBURG CANCER SURVIVOR NETWORK
| Field | Data |
|---|---|
| EIN | 46-4713512 |
| Case Number | EO-2015218-000327 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | PHILLIPSBURG CANCER SURVIVOR NETWORK |
| Organization’s Mailing Address | 279 STONEHENGE DR |
| City | PHILLIPSBURG |
| State | NJ |
| ZIP | 08865 |
| Accounting period End | 12 |
| Primary contact name | MICHAEL NARDELLA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
MICHAEL NARDELLA
PRESIDENT
279 STONEHENGE DR
PHILLIPSBURG NJ 08865
Officer/Director/Trustee Two
JODIE PATRICK-VANYA
VICE PRESIDENT
12 WILDEN DR
EASTON PA 18040
Officer/Director/Trustee Three
JUDY NARDELLA
TRESURER
279 STONEHENGE DR
PHILLIPSBURG NJ 08865
Officer/Director/Trustee Four
TRACEY DEPANO
SECRETARY
2460 CARA CT
EASTON PA 18040
Officer/Director/Trustee Five
HOPE DUNCAN
FUNDRAISING
3 HENDERSON ST
PHILLIPSBURG NJ 08865
| Organization’s website | WWW.PHILLIPSBURGCANCERSURVIVORS.COM |
|---|---|
| Organization’s email | PHILLIPSBURGCSN@YAHOO.COM |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/1/2014 |
| Organization Incorporation State | NJ |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | N50 - Recreational, Pleasure, or Social Club |
| 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 | 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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