FORM 1023-EZ for CROSSOVER CAMP

Field Data
EIN 82-2397793
Case Number EO-2017221-000346
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CROSSOVER CAMP
Organization’s Mailing Address 33 VOM EIGEN DRIVE
City MORRISTOWN
State NJ
ZIP 07960
Accounting period End 12
Primary contact name DEMOND MCCLELLAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEMOND MCCLELLAN
PRESIDENT/ COO/TRUSTEE
33 VOM EIGEN DRIVE
MORRISTOWN NJ 07960

Officer/Director/Trustee Two

OSWALD CROSS
V. PRESIDENT/ EXEC. DIR./TRUSTEE
214 MILFORD AVENUE
NEW MILFORD NJ 07646

Officer/Director/Trustee Three

HADIAH CROSS
PROGRAM COORD./TRUSTEE
214 MILFORD AVENUE
NEW MILFORD NJ 07646

Officer/Director/Trustee Four

ASIANEE ELLIOTT
PROGRAM COORD/TRUSTEE
101-125 W 147TH STREET
NEW YORK NY 10039

Organization’s website WWW.CROSSOVERCAMP.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/7/2017
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 Yes
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 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
Signature Title
Signature Date

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