FORM 1023-EZ for GARDEN STATE PULMONARY FIBROSIS SUPPORT GROUP
| Field | Data |
|---|---|
| EIN | 85-1190350 |
| Case Number | EO-2020302-000403 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | GARDEN STATE PULMONARY FIBROSIS SUPPORT GROUP |
| Organization’s Mailing Address | 30 TALMADGE ROAD |
| City | MENDHAM |
| State | NJ |
| ZIP | 07945 |
| Accounting period End | 12 |
| Primary contact name | EVAN MALAVARCA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
CHRISTINE WILLIAMS
SECRETARY AND BOARD MEMBER
121 SOUTH 9TH STREET - 1ST FL
NEWARK NJ 07107
Officer/Director/Trustee Two
MARGARET LIEBIG
TREASURER AND BOARD MEMBER
25 CEDAR LAKE WEST
DENVILLE NJ 07834
Officer/Director/Trustee Three
CHARLES BRYANT
PRESIDENT AND BOARD MEMBER
1 DRAKE LANE
CHESTER NJ 07930
Officer/Director/Trustee Four
JAMES DUVA
VICE PRESIDENT AND BOARD MEMBER
30 TALMADGE ROAD
MENDHAM NJ 07945
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/8/2020 |
| Organization Incorporation State | NJ |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | G45 - Lung Disease |
| 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 | 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 | JAMES DUVA |
| Signature Title | VICE PRESIDENT AND BOARD MEMBER |
| Signature Date | 10/26/2020 |
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