FORM 1023-EZ for SAINT ANASTASIA HAITI SUPPORT GROUPNJ NONPROFIT CORP

Field Data
EIN 47-4674646
Case Number EO-2015345-000299
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SAINT ANASTASIA HAITI SUPPORT GROUPNJ NONPROFIT CORP
Organization’s Mailing Address 23 CHAPEL AVENUE
City JERSEY CITY
State NJ
ZIP 07305-4027
Accounting period End 12
Primary contact name EUGENE P SQUEO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GEORGETTE DELINOIS
CHAIRPERSON
437 GLENWOOD AVENUE
TEANECK NJ 07666-6404

Officer/Director/Trustee Two

JACQUES ALEXANDRE
TREASURER
147 SHERMAN AVENUE
TEANECK NJ 07666-4120

Officer/Director/Trustee Three

EILEEN MCCANN
SECRETARY
338 CALVIN COURT
WYCKOFF NJ 07481-2217

Officer/Director/Trustee Four

ELIZABETH LARSON
CO-SECRETARY
280 E CEDAR LANE 207
TEANECK NJ 07666-5450

Officer/Director/Trustee Five

JOHN LUONGO
DIRECTOR
611 LINDERMAN LANE
MONTVALE NJ 07645-1749

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/31/2015
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q12 - Fund Raising and/or Fund Distribution
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 No
Donation of funds No
Conducting Activities Outside of United States Yes
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
Signature Title
Signature Date

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