FORM 1023-EZ for ANTI BULLY SQUAD A NJ NONPROFIT CORPORATION

Field Data
EIN 47-2830630
Case Number EO-2015124-000131
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ANTI BULLY SQUAD A NJ NONPROFIT CORPORATION
Organization’s Mailing Address 81 RIVER ROAD
City STANHOPE
State NJ
ZIP 07874
Accounting period End 12
Primary contact name THOMAS PETERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

THOMAS PETERSON
PRESIDENT
81 RIVER ROAD
STANHOPE NJ 07874

Officer/Director/Trustee Two

MARK CAMPBELL
VICE PRESIDENT
105 OAK STREET
HACKETTSTOWN NJ 07840

Officer/Director/Trustee Three

LISA PETERSON
TREASURER
81 RIVER ROAD
STANHOPE NJ 07874

Officer/Director/Trustee Four

WENDY CAMPBELL
SECRETARY
105 OAK STREET
HACKETTSTOWN NJ 07874

Officer/Director/Trustee Five

BRANDON MCMANUS
TRUSTEE
81 RIVER ROAD
STANHOPE NJ 07874

Organization’s website WWW.ANTIBULLYSQUAD.ORG
Organization’s email TOM@ANTIBULLYSQUAD.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/19/2015
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R28 -
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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