FORM 1023-EZ for DONT LOOK BACK NP

Field Data
EIN 46-2740028
Case Number EO-2014344-000404
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DONT LOOK BACK NP
Organization’s Mailing Address 1 HARPERS FERRY ROAD
City TOMS RIVER
State NJ
ZIP 08753
Accounting period End 5
Primary contact name DEBRA VELA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEBRA VELA
EXECUTIVE DIRECTOR
1 HARPERS FERRY ROAD
TOMS RIVER NJ 08753

Officer/Director/Trustee Two

JAMES HURLEY
PRESIDENT
1 HARPERS FERRY ROAD
TOMS RIVER NJ 08753

Officer/Director/Trustee Three

JOY HAVENS
SECRETARY
4 ELM COURT
METUCHEN NJ 08840

Officer/Director/Trustee Four

NICOLE BIUNNO
TREASURER
1901 OAK DALE ROAD
TOMS RIVER NJ 08753

Organization’s website DONTLOOKBACKNP.COM
Organization’s email DONTLOOKBACKNP@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/9/2013
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I73 - Sexual Abuse, Prevention of
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 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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