FORM 1023-EZ for NEW LEASE ON LIFE A NJ NONPROFIT CORPORATION

Field Data
EIN 82-5420780
Case Number EO-2018186-000187
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NEW LEASE ON LIFE A NJ NONPROFIT CORPORATION
Organization’s Mailing Address 912 COURTNEY WAY
City MT LAUREL
State NJ
ZIP 8054
Accounting period End 12
Primary contact name DAVINA WARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT WARD
EXECUTIVE DIRECTOR
912 COURTNEY WAY
MT LAUREL NJ 8054

Officer/Director/Trustee Two

DAVINA WARD
TTEE
912 COURTNEY WAY
MT LAUREL NJ 8054

Officer/Director/Trustee Three

MARLANA NICHOLS
TTEE
760 EAYRESTOWN RD APT A13 12
LUMBERTON NJ 8048

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/3/18
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F21 - Alcohol, Drug Abuse, Prevention Only
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 Yes
Donation of funds Yes
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 ROBERT WARD
Signature Title EXECUTIVE DIRECTOR
Signature Date 7/2/18

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