FORM 1023-EZ for JULIETTE ANIMAL HAVEN

Field Data
EIN 47-1737417
Case Number EO-2014251-000463
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JULIETTE ANIMAL HAVEN
Organization’s Mailing Address 7 LENOX TERRACE
City SOUTH ORANGE
State NJ
ZIP 07079
Accounting period End 12
Primary contact name GRACE OTTO- KURAK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GRACE OTTO- KURAK
PRESIDENT
7 LENOX TERRACE
SOUTH ORANGE NJ 07079

Officer/Director/Trustee Two

JENNIFER HART
TREASURER/ TRUSTEE
330 WHITE OAK SHADE ROAD
NEW CANAAN CT 06840

Officer/Director/Trustee Three

NANCY SCHETELICK
VICE PRESIDENT/ TRUSTEE
756 EVERGREEN PKWY
UNION NJ 07083

Officer/Director/Trustee Four

ROZ DREYDOPPEL
TRUSTEE
70 PEMBROOK DRIVE
KENILWORTH NJ 07033

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/27/2014
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
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
Signature Title
Signature Date

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