FORM 1023-EZ for ANTI-VIOLENCE COALITION OF HUDSON COUNTY

Field Data
EIN 84-2157522
Case Number EO-2019176-000264
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ANTI-VIOLENCE COALITION OF HUDSON COUNTY
Organization’s Mailing Address 95 OXFORD AVENUE
City JERSEY CITY
State NJ
ZIP 7304
Accounting period End 12
Primary contact name OTTO MOSS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HENRY GAGE
TRUSTEE
644 WEST SIDE AVE
JERSEY CITY NJ 7304

Officer/Director/Trustee Two

DENISE WILKERSON
TRUSTEE
709 SHERIDAN AVE
ROSELLE NJ 7203

Officer/Director/Trustee Three

CYNTHIA MALLORY-CHISOLM
TRUSTEE
194A DWIGHT ST
JERSEY CITY NJ 7305

Officer/Director/Trustee Four

PAMELA JOHNSON
EXECUTIVE DIRECTOR
383 PRINCETON AVE
JERSEY CITY NJ 7305

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/20/19
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S01 - 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 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 PAMELA JOHNSON
Signature Title EXECUTIVE DIRECTOR
Signature Date 6/20/19

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