FORM 1023-EZ for NORTH BRUNSWICK DOMESTIC VIOLENCE RESPONSE TEAM

Field Data
EIN 20-0814159
Case Number EO-2018304-000166
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTH BRUNSWICK DOMESTIC VIOLENCE RESPONSE TEAM
Organization’s Mailing Address 710 HERMANN ROAD
City NORTH BRUNSWICK
State NJ
ZIP 8902-2850
Accounting period End 12
Primary contact name MELANIE PACCILLO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CYNTHIA BAUMGARTNER
PRESIDENT
740 PROSPECT AVE
MILLTOWN NJ 8850-2017

Officer/Director/Trustee Two

LISA PIACENTINO
VICE PRESIDENT
1429 COLUMBIA DRIVE
NORTH BRUNSWICK NJ 8902-1654

Officer/Director/Trustee Three

MELANIE PACCILLO
SECRETARY
600 ALLGAIR AVE
NORTH BRUNSWICK NJ 8902-2908

Officer/Director/Trustee Four

MARRISSA TACINELLI
TREASURER
1296 KEARNEY DRIVE
NORTH BRUNSWICK NJ 8902-3126

Officer/Director/Trustee Five

CHADD HEYMAN
TRUSTEE
1296 KEARNEY DRIVE
NORTH BRUNSWICK NJ 8902-3126

Organization’s website HTTPS://NORTHBRUNSWICKNJ.GOV/DOMESTIC-VIOLENCE
Organization’s email NORTHDVRT@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/3/18
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I71 - Spouse Abuse, Prevention of
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 MELANIE PACCILLO
Signature Title SECRETARY
Signature Date 10/29/18

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