FORM 1023-EZ for CIRCLE OF PETALS

Field Data
EIN 81-5334754
Case Number EO-2017292-000364
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CIRCLE OF PETALS
Organization’s Mailing Address 33 WOOD AVENUE SOUTH SUITE 600
City ISELIN
State NJ
ZIP 08830
Accounting period End 12
Primary contact name ANDREA BOIDMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREA BOIDMAN
PRESIDENT AND TRUSTEE
23 S MOUNTAIN RD
MILLBURN NJ 07041

Officer/Director/Trustee Two

ANDREA DELBANCO
SECRETARY AND TRUSTEE
332 REDMOND RD
SOUTH ORANGE NJ 07079

Officer/Director/Trustee Three

CHERI TABIT
TRUSTEE
41 DORCHESTER LANE
RICHBORO PA 18954

Officer/Director/Trustee Four

ARIEL USATIN
TRUSTEE
14 RIVERSIDE CIRCLE
NEW HOPE PA 18938

Organization’s website WWW.CIRCLEOFPETALS.ORG
Organization’s email ANDREA.BOIDMAN@CIRCLEOFPETALS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/14/2017
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P81 - Senior Centers, Services
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
Signature Title
Signature Date

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