FORM 1023-EZ for DRIVEN BY HEROES INC

Field Data
EIN 47-3439136
Case Number EO-2015089-000269
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DRIVEN BY HEROES INC
Organization’s Mailing Address 336 WARD AVENUE
City SOUTH AMBOY
State NJ
ZIP 08879
Accounting period End 12
Primary contact name DIANE ST JOHN VICE-PRESIDENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

THOMAS MICHAELS JR
PRESIDENT
11 NOKOMIS AVE
LAKE HIAWATHA NJ 07034

Officer/Director/Trustee Two

CATHERINE STONE-CAMPBELL
TREASURER
4081 SOUTH BROAD ST
YARDVILLE NJ 08620

Officer/Director/Trustee Three

PATRICIA HUNEKE
DIRECTOR
28 YORKTOWN RD
MONMOUTH JUNCTION NJ 08852

Officer/Director/Trustee Four

REBECCA SHIELDS-CINARDO
DIRECTOR
192 ROOSEVELT AVE
HOWELL NJ 07731

Officer/Director/Trustee Five

ROBERT HILTON
DIRECTOR
158 WALTER RD
BRICK NJ 08724

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/26/2015
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
Donation of funds Yes
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
Signature Title
Signature Date

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