FORM 1023-EZ for FOUNDATION FOR HEALTH ADVANCEMENT INC
| Field | Data |
|---|---|
| EIN | 81-2316726 |
| Case Number | EO-2016190-000676 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | FOUNDATION FOR HEALTH ADVANCEMENT INC |
| Organization’s Mailing Address | 120 ALBANY STREET TOWER 2 SUITE 850 |
| City | NEW BRUNSWICK |
| State | NJ |
| ZIP | 08901 |
| Accounting period End | 6 |
| Primary contact name | AGGIE WORTHINGTON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
GEORGE HEINRICH MD
VICE CHAIR/CEO
120 ALBANY STREET
NEW BRUNSWICK NJ 08901
Officer/Director/Trustee Two
JAMES GOLUBIESKI
PRESIDENT
120 ALBANY STREET
NEW BRUNSWICK NJ 08901
Officer/Director/Trustee Three
AGGIE WORTHINGTON
VP FINANCE
120 ALBANY STREET
NEW BRUNSWICK NJ 08901
Officer/Director/Trustee Four
DEAN JANEWAY
CHAIR
120 ALBANY STREET
NEW BRUNSWICK NJ 08901
Officer/Director/Trustee Five
SANDRA BROWN-SHERMAN ESQ
SECRETARY
120 ALBANY STREET
NEW BRUNSWICK NJ 08901
| Organization’s website | N/A |
|---|---|
| Organization’s email | AWORTHINGTON@NJHF.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/20/2016 |
| Organization Incorporation State | DE |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | T70 - Fund Raising Organizations That Cross Categories |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: Yes Literary: Yes 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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