FORM 1023-EZ for ABSECON VETERINARY HOSPITAL FOUNDATION INC

Field Data
EIN 47-4362975
Case Number EO-2015273-000224
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ABSECON VETERINARY HOSPITAL FOUNDATION INC
Organization’s Mailing Address 195 S NEW ROAD
City ABSECON
State NJ
ZIP 08201
Accounting period End 12
Primary contact name ASHLEY R BARBER CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RACHEL SCOTLAND
PRESIDENT/TREASURER/TRUSTEE
11 VARDON ROAD
BIRGANTINE NJ 08203

Officer/Director/Trustee Two

DONNA VITTORELLI
VP/SECRETARY/TRUSTEE
119 N THURLOW AVENUE
MARGATE NJ 08402

Officer/Director/Trustee Three

KENNETH GROSSMAN
TRUSTEE
6 BAYSHORE COURT
MARGATE NJ 08402

Officer/Director/Trustee Four

REV JOHN SCOTLAND
TRUSTEE
11 VARDON ROAD
BRIGANTINE NJ 08203

Officer/Director/Trustee Five

DONNA BUZBY
TRUSTEE
332 TILTON ROAD
NORTHFIELD NJ 08225

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/26/2015
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
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
Signature Title
Signature Date

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