FORM 1023-EZ for SUPPORT THE ADOLESCENT YOUTH IN SCHOOL

Field Data
EIN 83-1652314
Case Number EO-2018288-000483
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SUPPORT THE ADOLESCENT YOUTH IN SCHOOL
Organization’s Mailing Address 94 WINDING DILL DRIVE
City HACKETTSTOWN
State NJ
ZIP 7840
Accounting period End 12
Primary contact name DR SONIA BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DR SONIA BROWN
PRESIDENT
94 WINDING DILL DRIVE
HACKETTSTOWN NJ 7840

Officer/Director/Trustee Two

DR BERTHA DEJESUS SALDANA
SECRETARY
2082 NEW HOLLAND PIKE
LANCASTER PA 17601

Officer/Director/Trustee Three

EVELYN CASSIDY ASEVERO
TREASURER
9 DODD STREET - APT B10
BLOOMFIELD NJ 7003

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/22/18
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O11 - 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 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 DR SONIA BROWN
Signature Title PRESIDENT
Signature Date 10/12/18

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