FORM 1023-EZ for THE 4WALLS FOUNDATION

Field Data
EIN 81-5143881
Case Number EO-2017075-000393
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE 4WALLS FOUNDATION
Organization’s Mailing Address 2511 HAMILTON DRIVE
City VOORHEES
State NJ
ZIP 08043
Accounting period End 12
Primary contact name JASON A BRICE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON BRICE
PRESIDENT
2511 HAMILTON DRIVE
VOORHEES NJ 08043

Officer/Director/Trustee Two

RANARTHA JACKSON
VICE PRESIDENT
1245 LANGDON BLVD
RVC NY 11570

Officer/Director/Trustee Three

PERCY BRICE III
TREASURER
1245 LANGDON BLVD
RVC NY 11570

Officer/Director/Trustee Four

DAVID BRICE
Q A DIRECTOR
1245 LANGDON BLVD
RVC NY 11570

Officer/Director/Trustee Five

MARIA JONES
SECRETARY
550 SOUTH DUPONT HWY SUITE 8G
NEW CASTLE DE 19720

Organization’s website
Organization’s email THE4WALLSFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/27/2017
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F32 - Community Mental Health Center
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
Signature Title
Signature Date

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