FORM 1023-EZ for WAYSIDE WELL A NJ NONPROFIT CORPORATION

Field Data
EIN 84-3506165
Case Number EO-2020230-000086
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WAYSIDE WELL A NJ NONPROFIT CORPORATION
Organization’s Mailing Address PO BOX 125
City GREEN VILLAGE
State NJ
ZIP 07935-0120
Accounting period End 12
Primary contact name JANE DEVLIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JANE DEVLIN
PRESIDENT/FOUNDER/DIRECTOR
PO BOX 125
GREEN VILLAGE NJ 07935-0120

Officer/Director/Trustee Two

KELLY LOOFBOURROW
TREASURER/ DIRECTOR
155 NORTH HILLSIDE AVE
CHATHAM NJ 07928-2821

Officer/Director/Trustee Three

CATHERINE MARINO
DIRECTOR
49 WICKHAM WAY
CHATHAM NJ 07928-1318

Officer/Director/Trustee Four

DEIRDRE MURPHY
DIRECTOR
5 ELM AVE
FAIRHAVEN MA 02719-6907

Organization’s website
Organization’s email FOUNDER@WAYSIDEWELLNJ-HOMELESS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/12/2019
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P85 - Homeless Persons Centers, Services
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 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 JANE DEVLIN
Signature Title PRESIDENT/FOUNDER/DIRECTOR
Signature Date 8/14/2020

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