FORM 1023-EZ for HIGHER INSTITUTE A NEW JERSEY NON PROFIT CORPORATION

Field Data
EIN 47-3878751
Case Number EO-2016238-000186
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HIGHER INSTITUTE A NEW JERSEY NON PROFIT CORPORATION
Organization’s Mailing Address 200 PINE STREET
City ROSELLE
State NJ
ZIP 07203
Accounting period End 12
Primary contact name SAMANTHA DOW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHERLOCK DOW
TRUSTEE
200 PINE STREET
ROSELLE NJ 07203

Officer/Director/Trustee Two

CRAIG STANLEY
TRUSTEE
200 PINE STREET
ROSELLE NJ 07203

Officer/Director/Trustee Three

DELIA TIBBS
TRUSTEE
200 PINE STREET
ROSELLE NJ 07203

Officer/Director/Trustee Four

SAMANTHA DOW
DIRECTOR
200 PINE STREET
ROSELLE NJ 07203

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/30/2015
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
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 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 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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