FORM 1023-EZ for CAPRICORN NON-PROFIT INC

Field Data
EIN 85-3425619
Case Number EO-2021019-000062
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CAPRICORN NON-PROFIT INC
Organization’s Mailing Address 25 RICHARD DRIVE
City SHORT HILLS
State NJ
ZIP 07078
Accounting period End 12
Primary contact name SAMANTHA SHAW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMANTHA SHAW
TRUSTEE, PRESIDENT/CEO
25 RICHARD
SHORT HILLS NJ 07078

Officer/Director/Trustee Two

MOHIT BAHEL
TRUSTEE, VP, TREASURER
93 MAGNOLIA AVE UNIT 1R
JERSEY CITY NJ 07306

Officer/Director/Trustee Three

STEPHANIE SHAW
TRUSTEE
25 RICHARD DRIVE
SHORT HILLS NJ 07078

Officer/Director/Trustee Four

ANNIE GLASSMAN
TRSUTEE, SECRETARY
360 EAST 65TH STREET 11H
NEW YORK NY 10065

Officer/Director/Trustee Five

SOPHIE KENNEDY
TRUSTEE
14 CHOWNING DRIVE
MALVERN PA 19355

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/12/2020
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
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 No
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 SAMANTHA SHAW
Signature Title TRUSTEE, PRESIDENT/CEO
Signature Date 11/19/2020

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