FORM 1023-EZ for SHONDA F SMITH FOUNDATION INC

Field Data
EIN 84-3136650
Case Number EO-2019275-000150
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHONDA F SMITH FOUNDATION INC
Organization’s Mailing Address 717 MOSES DRIVE
City RAHWAY
State NJ
ZIP 7065
Accounting period End 12
Primary contact name WILLIE TOLBERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOYCE M JOHNSON
PRESIDENT
717 MOSES DRIVE
RAHWAY NJ 7065

Officer/Director/Trustee Two

CARLA J GABRIEL
TRUSTEE
718 SHERIDAN AVENUE
ROSELLE NJ 7203

Officer/Director/Trustee Three

TERESA FRANCIS
TRUSTEE
171 SKYLINE DRIVE
STATEN ISLAND NY 10304

Officer/Director/Trustee Four

SAHEID D WHITE
TRUSTEE
499 SOUTH 12TH STREET
NEWARK NJ 7108

Officer/Director/Trustee Five

DERICK D DAVIS
TRUSTEE
1201 PARKSIDE AVENUE
EWING TOWNSHIP NJ 8618

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/23/19
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 JOYCE M JOHNSON
Signature Title PRESIDENT
Signature Date 9/30/19

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