FORM 1023-EZ for LANOKA HARBOR FIRST AID

Field Data
EIN 84-2603255
Case Number EO-2020147-000502
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LANOKA HARBOR FIRST AID
Organization’s Mailing Address 305 MANCHESTER BOULEVARD
City LANOKA HARBOR
State NJ
ZIP 08734
Accounting period End 12
Primary contact name SUSAN RESETAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GLENN RADLER
TRUSTEE
612 RADLER DR
FORKED RIVER NJ 08731

Officer/Director/Trustee Two

JACKIE SHARKEY
TRUSTEE
114A BUCKINGHAM DR
MANCHESTER NJ 08759

Officer/Director/Trustee Three

EFRAIN MELENDEZ
TRUSTEE
1 HUMANE WAY
BAMBER NJ 08731

Officer/Director/Trustee Four

SUSAN RESETAR
SECRETARY
305 MANCHESTER BLVD
LANOKA HARBOR NJ 08734

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/22/2019
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M41 - First Aid Training, Services
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 SUSAN RESETAR
Signature Title SECRETARY
Signature Date 5/22/2020

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