FORM 1023-EZ for BREECH DEDICATION AND SCHOLARSHIP ASSOCIATION INC

Field Data
EIN 84-3039634
Case Number EO-2019305-000262
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BREECH DEDICATION AND SCHOLARSHIP ASSOCIATION INC
Organization’s Mailing Address 1885 FAIRTON ROAD
City MILLVILLE
State NJ
ZIP 8332
Accounting period End 12
Primary contact name JOAN W HALTER CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT M SHEPPARD
TRUSTEE
1885 FAIRTON ROAD
MILLVILLE NJ 8332

Officer/Director/Trustee Two

PETER B JESPERSON
TRUSTEE
15 HUSTED LANDING ROAD
BRIDGETON NJ 8302

Officer/Director/Trustee Three

THOMAS DECOU
TRUSTEE
483 WEST ROAD
BRIDGETON NJ 8302

Organization’s website
Organization’s email SHEP64@COMCAST.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/12/19
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
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 SCOTT M SHEPPARD
Signature Title TRUSTEE
Signature Date 10/30/19

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