FORM 1023-EZ for AGNES CARE & REHABILITATION CENTERINC

Field Data
EIN 83-1602974
Case Number EO-2020030-000191
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AGNES CARE & REHABILITATION CENTERINC
Organization’s Mailing Address 8 CAROB COURT
City LUMBERTON
State NJ
ZIP 08048-4533
Accounting period End 12
Primary contact name MALANIE JORDAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ADEBUSOLA ADEJUMO
PRESIDENT
8 CAROB COURT
LUMBERTON NJ 08048-4533

Officer/Director/Trustee Two

ELIZABETH ADEJUMO
SECRETARY
8 CAROB COURT
LUMBERTON NJ 08048-4533

Officer/Director/Trustee Three

SAMUEL ADEJUMO
ASSISTANT SECRETARY
8 CAROB COURT
LUMBERTON NJ 08048-4533

Officer/Director/Trustee Four

JOAN NELSON
TREASURER
30 ASHLEY COURT
MARLTON NJ 08053-2069

Officer/Director/Trustee Five

AYODELE OMOMO
VICE PRESIDENT
870 EAST ROUTE 130 APT L7
BURLINGTON NJ 08016-2892

Organization’s website
Organization’s email AGNESCARE.REHAB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/24/2018
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E99 - Health - General and Rehabilitative N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
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 ADEBUSOLA ADEJUMO
Signature Title PRESIDENT
Signature Date 1/28/2020

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