FORM 1023-EZ for ANDREW JARZYK MEMORIAL FOUNDATION ANJ NONPROFIT CORPORATION

Field Data
EIN 47-1376586
Case Number EO-2015161-000454
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ANDREW JARZYK MEMORIAL FOUNDATION ANJ NONPROFIT CORPORATION
Organization’s Mailing Address 61 YELLOW MEETINGHOUSE ROAD
City CREAM RIDGE
State NJ
ZIP 08514
Accounting period End 12
Primary contact name MATTHEW DARWIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

STEPHEN JARZYK
PRESIDENT, DIRECTOR
61 YELLOW MEETINGHOUSE ROAD
CREAM RIDGE NJ 08514

Officer/Director/Trustee Two

KARYN JARZYK
TREASURY, DIRECTOR
61 YELLOW MEETINGHOUSE ROAD
CREAM RIDGE NJ 08514

Officer/Director/Trustee Three

LINDSEY JARZYK
SECRETARY, DIRECTOR
81 LONGWOOD DRIVE
HAMILTON NJ 08620

Officer/Director/Trustee Four

MATTHEW DARWIN
CHAIRMAN OF THE BOARD, DIRECTOR
42 WEST HOLLY STREET APARTMENT 5
CRANFORD NJ 07016

Officer/Director/Trustee Five

BEVERLY JARZYK
DIRECTOR
81 LONGWOOD DRIVE
HAMILTON NJ 08620

Organization’s website HTTPS://WWW.FACEBOOK.COM/ANDREWJARZYKMEMORIALFOUNDATION?REF=TSFREF=TS
Organization’s email AJMEMORIALFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/23/2015
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - 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 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 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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