FORM 1023-EZ for NICHOLAS NEGRON MENTAL HEALTH FOUNDATION A NJ NONPROFIT CORPORATION
| Field | Data |
|---|---|
| EIN | 83-4473409 |
| Case Number | EO-2020218-000283 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | NICHOLAS NEGRON MENTAL HEALTH FOUNDATION A NJ NONPROFIT CORPORATION |
| Organization’s Mailing Address | 5 SETON LN |
| City | MAHWAH |
| State | NJ |
| ZIP | 07430 |
| Accounting period End | 12 |
| Primary contact name | JAMES SCAVONE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JAMES SCAVONE
TRUSTEE
17 PEACH HILL CT
RAMSEY NJ 07446
Officer/Director/Trustee Two
MATT VIOLA
TRUSTEE
5 SETON LN
MAHWAH NJ 07430
Officer/Director/Trustee Three
MICHAEL NEGRON
TRUSTEE
29 BERGEN AVE
WALDWICK NJ 07463
Officer/Director/Trustee Four
MATT DILL
TRUSTEE
15 ROBERTA LN
WALDWICK NJ 07463
Officer/Director/Trustee Five
SEAN CONNELLY
TRUSTEE
35 MACKAY AVE
WALDWICK NJ 07463
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/19/2019 |
| Organization Incorporation State | NJ |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | N40 - Sports Training Facilities, Agencies |
| 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 | JAMES SCAVONE |
| Signature Title | TRUSTEE |
| Signature Date | 8/3/2020 |
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