FORM 1023-EZ for ETHAN AND THE BEAN

Field Data
EIN 82-2798044
Case Number EO-2018029-000534
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ETHAN AND THE BEAN
Organization’s Mailing Address 174 FOREST AVENUE
City WEST CALDWELL
State NJ
ZIP 7006
Accounting period End 1
Primary contact name PAMELA DONOVAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAMELA DONOVAN
PRESIDENT
174 FOREST AVE
WEST CALDWELL NJ 7006-700

Officer/Director/Trustee Two

SUSAN GUZMAN
VICE PRESIDENT
56 MAGNOLIA AVENUE
MONTVALE NJ 7645-1336

Officer/Director/Trustee Three

DEBRA GOGGINS
SECRETARY
50 CAMP LANE
FAIRFIELD NJ 7004

Officer/Director/Trustee Four

LUCY ARRIOLA
BOARD MEMBER
31 SHEPERD DRIVE
MONTVALE NJ 7645-1336

Officer/Director/Trustee Five

REGINA COX
TREASUERUR
172 BROADWAY
WOODCLIFF LAKE NJ 7677

Organization’s website WWW.ETHANTHEBEAN.COM
Organization’s email PAM@ETHANTHEBEAN.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/29/17
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P82 - Developmentally Disabled Centers, Services
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 PAMELA DONOVAN
Signature Title PRESIDENT
Signature Date 1/26/18

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