FORM 1023-EZ for EBO STRONG FOUNDATION INC

Field Data
EIN 46-4016119
Case Number EO-2016083-000454
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EBO STRONG FOUNDATION INC
Organization’s Mailing Address 42 ROLLING GLEN COURT
City MOUNT LAUREL
State NJ
ZIP 08054-9500
Accounting period End 12
Primary contact name VIRGINIA EBERLING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

VIRGINIA EBERLING
TRUSTEE
42 ROLLING GLEN COURT
MOUNT LAUREL NJ 08054-9500

Officer/Director/Trustee Two

JUDI EIGENBROOD
TRUSTEE
24 LENAPE COURT
MOUNT LAUREL NJ 08054-5718

Officer/Director/Trustee Three

MOLLIE AMATO
TRUSTEE
164 CHIPPEWA TRAIL
MEDFORD LAKES NJ 08055-1842

Officer/Director/Trustee Four

RICH BRUSCO
TRUSTEE
10 HEMLOCK DRIVE
BLENHEIM NJ 08012-3125

Officer/Director/Trustee Five

AMY POHL
TRUSTEE
1107 CRESSWOOD ROAD
PHILADELPHIA PA 19115-3003

Organization’s website WWW.EBOSTRONG.ORG
Organization’s email GINI@EBOSTRONG.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/31/2013
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G98 - Pediatrics
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 Yes
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 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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