FORM 1023-EZ for FAMILY SERVICES OF PASSAIC COUNTY

Field Data
EIN 83-3130761
Case Number EO-2019130-000119
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FAMILY SERVICES OF PASSAIC COUNTY
Organization’s Mailing Address PO BOX 3324
City WAYNE
State NJ
ZIP 7470
Accounting period End 12
Primary contact name SULAY PEREZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHYA AREVALO
PRESIDENT
65 MINNS AVENUE
WAYNE NJ 7470

Officer/Director/Trustee Two

SULAY PEREZ
TREASURY
176 COLFAX AVENUE
CLIFTON NJ 7013

Officer/Director/Trustee Three

TIMOTHY MADDEN
LAWYER
194 LAKEVIEW AVENUE
CLIFTON NJ 7011

Officer/Director/Trustee Four

KAREN MORA
SECRETARY
32 SPRUCE STREET
POMPTON LAKE NJ 7442

Officer/Director/Trustee Five

MELISSA VIRULA
BOARD MEMBER
47 WHITEWAY
POMPTON LAKE NJ 7442

Organization’s website
Organization’s email FAMILYSERVICESOFPC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/25/19
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
Organization’s purpose Charitable: Yes
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 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 SULAY PEREZ
Signature Title TREASURY
Signature Date 5/8/19

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