FORM 1023-EZ for ANDYS GLOW FOUNDATION INC

Field Data
EIN 86-3091131
Case Number EO-2021132-000325
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ANDYS GLOW FOUNDATION INC
Organization’s Mailing Address 701 RTE 50
City MAYS LANDING
State NJ
ZIP 08330
Accounting period End 12
Primary contact name KATHY RIVERO-ROBINSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHY RIVERO-ROBINSON
CEO
206 SPRAY AVE
EGG HARBOR TWP NJ 08234

Organization’s website
Organization’s email ANDYSGLOW1234@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/19/2021
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F01 - Alliance/Advocacy Organizations
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 KATHY RIVERO-ROBINSON
Signature Title CEO
Signature Date 5/10/2021

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