FORM 1023-EZ for CIVIC CONNEXTION 4 COMMUNITY CHANGE
| Field | Data |
|---|---|
| EIN | 83-1869064 |
| Case Number | EO-2019165-000302 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CIVIC CONNEXTION 4 COMMUNITY CHANGE |
| Organization’s Mailing Address | 476 THOMAS BLVD |
| City | ORANGE |
| State | NJ |
| ZIP | 7050-1718 |
| Accounting period End | 6 |
| Primary contact name | JACQUELINE KIMBLE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JACQUELINE KIMBLE
PRESIDENT
244 WATCHUNG AVE
ORANGE NJ 7050-1718
Officer/Director/Trustee Two
FATIMA MCCOY-LEONARD
FIRST VICE PRESIDENT
101 B FRANKLIN TERRACE
MAPLEWOOD NJ 7074
Officer/Director/Trustee Three
BERNADETTE CARTER
SECOND VICE PRESIDENT
108 BOND ST
ISELIN NJ 8830
Officer/Director/Trustee Four
DENISE MCDANIEL
SECRETARY
4 CAROL STREET
SOMERSET NJ 8873
Officer/Director/Trustee Five
KERRI DENSE WILLIAMS
TREASURER
2 HIGHVIEW
ROAD NJ 7305
| Organization’s website | WWW.CIVICCONNEXTION.ORG |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/12/18 |
| Organization Incorporation State | NJ |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P20 - Human Service Organizations - Multipurpose |
| Organization’s purpose | Charitable: Yes Religious: Yes 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 | 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 | JACQUELINE KIMBLE |
| Signature Title | PRESIDENT |
| Signature Date | 6/12/19 |
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