FORM 1023-EZ for CALVARY PENTECOSTAL ASSEMBLY

Field Data
EIN 20-5809145
Case Number EO-2017124-000142
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CALVARY PENTECOSTAL ASSEMBLY
Organization’s Mailing Address 323-325 NESBIT TERRACE
City IRVINGTON
State NJ
ZIP 07111
Accounting period End 12
Primary contact name DAVID R MOHAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID R MOHAN
TRUSTEE/PASTOR
68 MT VERNON PL
NEWARK NJ 07106

Officer/Director/Trustee Two

GENE E MOHAN
TRUSTEE
68 MT VERNON PL
NEWARK NJ 07106

Officer/Director/Trustee Three

MARY I SOOKDEO
TRUSTEE
45 MONTICELLO AVE
NEWARK NJ 07106

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/1/2006
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X21 - Protestant
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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