FORM 1023-EZ for PEAPOD PURSE

Field Data
EIN 46-4531262
Case Number EO-2015103-000064
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PEAPOD PURSE
Organization’s Mailing Address 116 CROW HILL ROAD
City JACKSON
State NJ
ZIP 08527
Accounting period End 12
Primary contact name TRACEY PODOLSKY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TRACEY PODOLSKY
PRESIDENT
116 CROW HILL ROAD
JACKSON NJ 08527

Officer/Director/Trustee Two

CHRISTOPHER PODOLSKY
VICE PRESIDENT
116 CROW HILL ROAD
JACKSON NJ 08527

Officer/Director/Trustee Three

THERESA MASKOWITZ
PUBLIC RELATIONS
46 NEWPORT DRIVE
MANALAPAN NJ 07726

Officer/Director/Trustee Four

LISA WOJNAROWICZ
TREASURER
46 HERMAN DRIVE
SPOTSWOOD NJ 08884

Officer/Director/Trustee Five

SUSAN RAUF
SECRETARY
1880 WHITE KNOLL DRIVE
TOMS RIVER NJ 08755

Organization’s website WWW.ELYMPHEDEMA.ORG
Organization’s email PEAPODPURSE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/5/2014
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E12 - Fund Raising and/or Fund Distribution
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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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