FORM 1023-EZ for GREEN AND WHITE ASSOCIATION

Field Data
EIN 47-3100820
Case Number EO-2015163-000454
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GREEN AND WHITE ASSOCIATION
Organization’s Mailing Address 404 INDIANA AVENUE
City LONG BRANCH
State NJ
ZIP 07740
Accounting period End 7
Primary contact name JAMIE HAYES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHELLE MULLAN
PRESIDENT
154 MORRIS AVENUE UNIT 1
LONG BRANCH NJ 07740

Officer/Director/Trustee Two

DAVID BROWN
VICE PRESIDENT
449 NORWOOD AVENUE
LONG BRANCH NJ 07740

Officer/Director/Trustee Three

JAMIE LYNN HAYES
SECRETARY
385 OCEAN BLVD APT 6D
LONG BRANCH NJ 07740

Officer/Director/Trustee Four

ROSE DEVITO
TREASURER
179 OAKWOOD AVENUE
LONG BRANCH NJ 07740

Officer/Director/Trustee Five

JASON CORLEY
ATHLETIC ADMINISTRATOR
64 DIANE DRIVE
TINTON FALLS NJ 07724

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/1935
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - 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 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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