FORM 1023-EZ for GRANDANSE HEALTH & DEVELOPMENT ASSOCIATION

Field Data
EIN 83-2519862
Case Number EO-2020122-000256
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GRANDANSE HEALTH & DEVELOPMENT ASSOCIATION
Organization’s Mailing Address 442 LAKE AVE
City BAY HEAD
State NJ
ZIP 08742
Accounting period End 12
Primary contact name JUDY LEWIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARIE KETLEY SEIDE
TRUSTEE
625 SE 2ND AVE STE B
BOYNTON BEACH FL 33435

Officer/Director/Trustee Two

JOAN SHERMAN
TRUSTEE
1514 DAVIS
EVANSTON IL 60201

Officer/Director/Trustee Three

LESLIE G DESMANGLES
TRUSTEE
2 VALLEY VIEW DR
WEATOGUE CT 06089

Officer/Director/Trustee Four

JUDY LEWIS
TRUSTEE
3 OLD MILL LANE
WEST HARTFORD CT 06107

Officer/Director/Trustee Five

CARL HART
TRUSTEE
8201 NE 16TH ST
VANCOUVER WA 98664

Organization’s website WWW.GAHDA.ORG
Organization’s email BETTE@GAHDA.ORG
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/19/2018
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E99 - Health - General and Rehabilitative N.E.C.
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JUDY LEWIS
Signature Title TRUSTEE
Signature Date 4/29/2020

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