FORM 1023-EZ for MILLBURN FIFTH QUARTER CLUB

Field Data
EIN 52-1783133
Case Number EO-2014350-000258
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MILLBURN FIFTH QUARTER CLUB
Organization’s Mailing Address 31 TIMBER ACRES RD
City SHORT HILLS
State NJ
ZIP 07078-1012
Accounting period End 12
Primary contact name CHARLEEN MEISENHEIEMR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

STEVE STONE
CO- PRESIDENT
17 TWIN OAK RD
SHORT HILLS NJ 07078-1012

Officer/Director/Trustee Two

MARC SEID
CO-PRESIDENT
360 LONG HILLS DR
SHORT HILLS NJ 07078-1012

Officer/Director/Trustee Three

CHARLEEN MEISENHEIMER
TREASURER
31 TIMBER ACRES RD
SHORT HILLS NJ 07078-1012

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/1980
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football Clubs, Leagues
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 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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