FORM 1023-EZ for NEW JERSEY FOR PUERTO RICO HURRICANE RELIEF

Field Data
EIN 82-2853819
Case Number EO-2017268-000407
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NEW JERSEY FOR PUERTO RICO HURRICANE RELIEF
Organization’s Mailing Address 59 AMARA LANE
City WESTAMPTON
State NJ
ZIP 08060
Accounting period End 12
Primary contact name ABRAHAM LOPEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ABRAHAM LOPEZ
TRUSTEE
59 AMARA LANE
WESTAMPTON NJ 08060

Officer/Director/Trustee Two

SAMUEL DELGADO
TRUSTEE
185 FRONT ST
PERTH AMBOY NJ 08861

Officer/Director/Trustee Three

IDIDA RODRIGUEZ
TRUSTEE
22 UPPER MOUNTAIN AVE
MONTCLAIR NJ 07041

Officer/Director/Trustee Four

WILDA DIAZ
TRUSTEE
708 LEE ST
PERTH AMBOY NJ 08861

Organization’s website WWW.GOFUNDME.COM/BRAYLONSWARRIORS
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/21/2017
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 Yes
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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