FORM 1023-EZ for JAZZ FOR PROSTATE CANCER AWARENESS

Field Data
EIN 46-3771236
Case Number EO-2014318-000130
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JAZZ FOR PROSTATE CANCER AWARENESS
Organization’s Mailing Address 2 KWITKOWSKI COURT
City SAYREVILLE
State NJ
ZIP 08872
Accounting period End 12
Primary contact name RALPH STOWE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

FLORA STOWE
TRUSTEE
2 KWITKOWSKI COURT
SAYREVILLE NJ 08872

Officer/Director/Trustee Two

SHARON FREDERICK
TRUSTEE
23 SULLIVAN WAY
EAST BRUNSWICK NJ 08816

Officer/Director/Trustee Three

DIANNE TAM
TRUSTEE
37 PITCH PNE LANE
HOWELL NJ 07731

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/27/2013
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G30 - Cancer
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: Yes
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
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 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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