FORM 1023-EZ for FENTANYL POISONING AWARENESS AND PREVENTION
| Field | Data |
|---|---|
| EIN | 84-2958889 |
| Case Number | EO-2020066-000222 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | FENTANYL POISONING AWARENESS AND PREVENTION |
| Organization’s Mailing Address | 1125 JEFFERSON AVENUE |
| City | BELLMAWR |
| State | NJ |
| ZIP | 08031 |
| Accounting period End | 12 |
| Primary contact name | KRISTEN RIVERA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ADRIENNE PETTA
PRESIDENT
1975 ARENA DRIVE
HAMILTON NJ 08610
Officer/Director/Trustee Two
ROBERTA ARNOLD
SECRETARY/TREASURER
602 CENTRAL AVENUE
RUNNEMEDE NJ 08078
Officer/Director/Trustee Three
KRISTEN RIVERA
EXECUTIVE DIRECTOR
1125 JEFFERSON AVENUE
BELLMAWR NJ 08031
Officer/Director/Trustee Four
VICTORIA KING
VICE PRESIDENT
153 LOCUST AVENUE
WESTVILLE NJ 08093
| Organization’s website | HTTPS://WWW.FACEBOOK.COM/FENTANYLPOISONING |
|---|---|
| Organization’s email | FENTANYLPOISONING@OUTLOOK.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/5/2019 |
| 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: No Educational: Yes Scientific: No Literary: No Public Safety: No Amateur Sports: No Cruelty Prevention: No |
| Qualify For Exemption | No |
| Legislation influence | Yes |
| Compensation of Officer director trustee | No |
| 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 | Yes |
| Disaster relief assistance | Yes |
| 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 | KRISTEN RIVERA |
| Signature Title | EXECUTIVE DIRECTOR |
| Signature Date | 3/4/2020 |
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