| Field | Data |
|---|---|
| EIN | 47-1883706 |
| Case Number | EO-2021092-000947 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | NEW JERSEY PALLIATIVE CARE APN CONSORTIUM |
| Organization’s Mailing Address | 432 WYCKOFF AVE |
| City | RAMSEY |
| State | NJ |
| ZIP | 07446 |
| Accounting period End | 12 |
| Primary contact name | YUSIMI SOBRINO-BONILLA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
YUSIMI SOBRINO-BONILLA
PRESIDENT
432 WYCKOFF AVENUE
RAMSEY NJ 07446
JUDITH BARBERIO
TREASURY
7 HAYTOWN ROAD
LEBANON NJ 07884
TINA BASENESE
CO-TREASURER
5 RICE LANE
LONG VALLEY NJ 07853
KATHERINE DEMARCO
HEALTH POLICY BOARD MEMBER
15 HOWELL ROAD
MOUNTAIN LAKES NJ 07046
LESLIE ESMAIL
SECRETARY
3328 RIVERVIEW AVENUE
ENGLEWOOD NJ 07631
| Organization’s website | HTTPS://NJPCAPNC.ENPNETWORK.COM/ |
|---|---|
| Organization’s email | NJPCAPNC@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/6/2013 |
| Organization Incorporation State | NJ |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B01 - Alliance/Advocacy Organizations |
| Organization’s purpose | Charitable: Yes Religious: No 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 | 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 | YUSIMI SOBRINO-BONILLA |
| Signature Title | PRESIDENT |
| Signature Date | 2/27/2021 |
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