FORM 1023-EZ for THE CLUB HOUSE RECREATION CENTER

Field Data
EIN 81-4294028
Case Number EO-2017116-000122
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE CLUB HOUSE RECREATION CENTER
Organization’s Mailing Address 5924 MAIN STREET
City MAYS LANDING
State NJ
ZIP 08330
Accounting period End 12
Primary contact name LISA AVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDRE VINSON
PRESIDENT
5924 MAIN STREET
MAYS LANDING NJ 08330

Officer/Director/Trustee Two

LISA AVIS
TREASURER
3001 LINDEN AVENUE
MAYS LANDING NJ 08330

Officer/Director/Trustee Three

CHRISTIAN RAGLAND
VICE PRESIDENT
5924 MAIN STREET
MAYS LANDING NJ 08330

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/1/2016
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance Yes
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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