FORM 1023-EZ for PPCM IN THE COMMUNITY INC

Field Data
EIN 83-2482566
Case Number EO-2019133-000398
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PPCM IN THE COMMUNITY INC
Organization’s Mailing Address 656 MORNINGSIDE AVENUE
City LINDEN
State NJ
ZIP 7036
Accounting period End 12
Primary contact name DIONNE JENNINGS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLEO BOSTICK
PRESIDENT-CEO
656 MORNINGSIDE AVENUE
LINDEN NJ 7036

Officer/Director/Trustee Two

DIONNE JENNINGS
VICE PRESIDENT
656 MORNINGSIDE AVENUE
LINDEN NJ 7036

Officer/Director/Trustee Three

ALICE JENNINGS
BOARD MEMBER
1319 PASSAIC AVENUE
LINDEN NJ 7036

Officer/Director/Trustee Four

CAMPELLA GODFREY
BOARD MEMBER
28 BLUM STREET
NEWARK NJ 7103

Officer/Director/Trustee Five

SHAKIRA CHAMBERS
BOARD MEMBER
78A RIVERVALE CT
SCOTCH PLAINS NJ 7076

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/6/18
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
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 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 CLEO BOSTICK
Signature Title PRESIDENT-CEO
Signature Date 5/9/19

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