FORM 1023-EZ for TAKE A LEAP FOUNDATION INC

Field Data
EIN 84-2564469
Case Number EO-2019217-000294
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TAKE A LEAP FOUNDATION INC
Organization’s Mailing Address 55 UNION PLACE
City SUMMIT
State NJ
ZIP 7901
Accounting period End 12
Primary contact name NICOLE POOLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICOLE POOLE
BUSINESS OWNER
SUITE 266
SUMMIT NJ 7901

Officer/Director/Trustee Two

ARTLESS POOLE JR
FOH ENGINEER
55 UNION PLACE
SUMMIT NJ 7901

Officer/Director/Trustee Three

LYNETTE BLACKWELL
PLAYWRIGHT
PO BOX 732
CHERRY HILL NJ 8003

Officer/Director/Trustee Four

VERONICA BROWN
PRINCIPAL
55 UNION PLACE
SUMMIT NJ 7901

Officer/Director/Trustee Five

ERICA WHATLEY
ACCOUNTANT
PO BOX 1255
FAIRBURN GA 30213

Organization’s website WWW.TAKEALEAPFOUNDATION.ORG
Organization’s email INFO@TAKEALEAPFOUNDATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/31/19
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T31 - Community Foundations
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name NICOLE POOLE
Signature Title BUSINESS OWNER
Signature Date 8/1/19

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