FORM 1023-EZ for PURPLE HEART ADVENTURES INC

Field Data
EIN 83-1369254
Case Number EO-2018218-000676
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PURPLE HEART ADVENTURES INC
Organization’s Mailing Address 252 SOUTH BOULEVARD
City SADDLE BROOK
State NJ
ZIP 7663
Accounting period End 12
Primary contact name WILLIAM MAIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS COULOURIS
PRESIDENT
252 SOUTH BOULEVARD
SADDLE BROOK NJ 7663

Officer/Director/Trustee Two

JOHN AVANZATO
VICE PRESIDENT
91 BITTERSWEET WAY
WARWICK NY 10990

Officer/Director/Trustee Three

EDWARD CHAPEL
VICE PRESIDENT
25 LINCOLN AVE
WESTWOOD NJ 7675

Officer/Director/Trustee Four

WILLIAM MAIN
SECRETARY
34 ETHEL AVE
ALLENDALE NJ 7401

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/25/18
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 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 WILLIAM MAIN
Signature Title SECRETARY
Signature Date 8/3/18

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