FORM 1023-EZ for SCHOOL 1 HSA
| Field | Data |
|---|---|
| EIN | 85-2267564 |
| Case Number | EO-2020233-000239 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | SCHOOL 1 HSA |
| Organization’s Mailing Address | 665 MCBRIDE AVE |
| City | WOODLAND PARK |
| State | NJ |
| ZIP | 07424 |
| Accounting period End | 12 |
| Primary contact name | AMY DEAN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
TAMI HAJBI
PRESIDENT
194 BERGEN BLVD
WOODLAND PARK NJ 07424-2834
Officer/Director/Trustee Two
DANA CAMACHO
VICE PRESIDENT
33 WALLACE LANE
WOODLAND PARK NJ 07424
Officer/Director/Trustee Three
MAISOUN MUHAMMED
CO VICE PRESIDENT
30 WHIPPANY AVE
WOODLAND PARK NJ 07424
Officer/Director/Trustee Four
AMY DEAN
TREASURER
83 MAPLE AVE
WOODLAND PARK NJ 07424-2834
Officer/Director/Trustee Five
GINA MAQUINN
SECRETARY
17 OAK RIDGE ROAD
WOODLAND PARK NJ 07424-2834
| Organization’s website | |
|---|---|
| Organization’s email | SCHOOLONEHSA@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/31/2020 |
| Organization Incorporation State | NJ |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B12 - Fund Raising and/or Fund Distribution |
| Organization’s purpose | Charitable: No 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 | 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 | AMY DEAN |
| Signature Title | TREASURER |
| Signature Date | 8/18/2020 |
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