FORM 1023-EZ for PROJECT SHALOM INC

Field Data
EIN 85-2887761
Case Number EO-2020254-000326
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PROJECT SHALOM INC
Organization’s Mailing Address 1072 MADISON AVE
City LAKEWOOD
State NJ
ZIP 08701
Accounting period End 12
Primary contact name DAVID J LIEBERMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID LIEBERMAN
PRESIDENT
1072 MADISON AVE
LAKEWOOD NJ 08701

Officer/Director/Trustee Two

BARBARA HERZBERGQ
SECRETARY
324 BEACH 88TH ST
ROCKAWAY BEACH NY 11693

Officer/Director/Trustee Three

EZRIEL E MUNK
TREASURER
617 CARANETTA
LAKEWOOD NJ 08701

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/7/2020
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 DAVID LIEBERMAN
Signature Title PRESIDENT
Signature Date 9/8/2020

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