FORM 1023-EZ for KING DAVID LODGE - 7 AF & AM INC

Field Data
EIN 22-3767468
Case Number EO-2019164-000243
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KING DAVID LODGE - 7 AF & AM INC
Organization’s Mailing Address 5 EAST VIEW COURT
City JERSEY CITY
State NJ
ZIP 7305-4218
Accounting period End 12
Primary contact name KERNAL THOMAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KERNAL THOMAS
PRESIDENT
5 EAST VIEW COURT
JERSEY CITY NJ 7305-4218

Officer/Director/Trustee Two

WAYNE BRYANT
SECRETARY
137 BAYVIEW AVENUE
JERSEY CITY NJ 7305-3306

Officer/Director/Trustee Three

ISAAC HOLIDAY
TREASURER
295 TERRACE AVENUE
JERSEY CITY NJ 7307-3953

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/11/18
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KERNAL THOMAS
Signature Title PRESIDENT
Signature Date 6/11/19

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