FORM 1023-EZ for PLEASANTVILLE POLICE FOUNDATION

Field Data
EIN 81-2245913
Case Number EO-2016109-000223
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PLEASANTVILLE POLICE FOUNDATION
Organization’s Mailing Address 17 NORTH FIRST STREET
City PLEASANTVILLE
State NJ
ZIP 08232
Accounting period End 12
Primary contact name JAMES E SCHROEDER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHN L DOURIS
TRUSTEE / EXECUTIVE DIRECTOR
44 NORTH MAIN STREET
PLEASANTVILLE NJ 08232

Officer/Director/Trustee Two

JOSE L RUIZ
TRUSTEE
2132 OCEAN HEIGHTS AVENUE
PLEASANTVILLE NJ 08234

Officer/Director/Trustee Three

MERYDAWILDA COLON
TRUSTEE
119 WOODBURY DRIVE
EGG HARBOR TOWNSHIP NJ 08234

Officer/Director/Trustee Four

VERNON LAWRENCE
TRUSTEE
22 RED FOX TRAIL
PLEASANTVILLE NJ 08232

Officer/Director/Trustee Five

REV DR MILTON HENDRICKS
TRUSTEE
829 TILTON ROAD PO BOX 806
PLEASANTVILLE NJ 08232

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/15/2016
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
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
Signature Title
Signature Date

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