FORM 1023-EZ for ACUPUNCTURE STAT -STRESS TRAUMA ADDICTION TREATMENT INC

Field Data
EIN 82-1585245
Case Number EO-2017159-000283
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ACUPUNCTURE STAT -STRESS TRAUMA ADDICTION TREATMENT INC
Organization’s Mailing Address 471 GLEN ROAD
City SPARTA
State NJ
ZIP 07871-3114
Accounting period End 12
Primary contact name KAYLEIGH CALLAN-KOVONUK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAYLEIGH CALLAN-KOVONUK
DIRECTOR AND PRESIDENT
471 GLEN ROAD
SPARTA NJ 07871-3114

Officer/Director/Trustee Two

ELIZABETH ANKROM
DIRECTOR AND TREASURER
180B MATTISON RESERVOIR AVENUE
BRANCHVILLE NJ 07826-4163

Officer/Director/Trustee Three

STEPHANIE WOLTHOFF
SECRETARY
8 KENNEDY ROAD
MORRIS PLAINS NJ 07950-2312

Officer/Director/Trustee Four

KATE BURD
DIRECTOR
34 RED OAK TERRACE
OAK RIDGE NJ 07438-9189

Organization’s website WWW.ACUPUNCTURESTAT.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/9/2017
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E30 - Health Treatment Facilities, Primarily Outpatient
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 No
Compensation of Officer director trustee Yes
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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