FORM 1023-EZ for SARAHS DAUGHTERS DOMESTIC VIOLENCE AWARENESS

Field Data
EIN 47-1908468
Case Number EO-2017270-000304
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SARAHS DAUGHTERS DOMESTIC VIOLENCE AWARENESS
Organization’s Mailing Address 317 PACIFIC AVENUE PO BOX 33
City JERSEY CITY
State NJ
ZIP 07304
Accounting period End 12
Primary contact name OTTO MOSS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BERTHA REELS
PRESIDENT
317 PACIFIC AVENUE
JERSEY CITY NJ 07304

Officer/Director/Trustee Two

QUANITA HOWARD
TREASURER
20 DANA ESTATES
PARLIN NJ 08854

Officer/Director/Trustee Three

MAXINE ROYSTER
VICE PRESIDENT
34 HUDSON AVENUE
MAPLEWOOD NJ 07040

Officer/Director/Trustee Four

CAROL TYLER
SECRETARY
28 PAMRAPO AVENUE
JERSEY CITY NJ 07305

Officer/Director/Trustee Five

JUNE JONES
OFFICER
317 PACIFIC AVENUE
JEERSEY CITY NJ 07304

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/23/2014
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I71 - Spouse Abuse, Prevention of
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date
EIN 47-1908468
Case Number EO-2016298-000360
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SARAH S DAUGHTERS DOMESTIC VIOLENCEAWARENESS
Organization’s Mailing Address 317 PACIFIC AVE PO BOX 33
City JERSEY CITY
State NJ
ZIP 07304
Accounting period End 12
Primary contact name OTTO MOSS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BERTHA REELS
PRESIDENT
317 PACIFIC AVE
JERSEY CITY NJ 07304

Officer/Director/Trustee Two

QUANITA HOWARD
TREASURER
20 DANA ESTATES
PARLIN NJ 08854

Officer/Director/Trustee Three

MAXINE ROYSTER
VICE PRESIDENT
34 HUDSON AVE
MAPLEWOOD NJ 07040

Officer/Director/Trustee Four

CAROL TYLER
SECRETARY
28 PAMRAPO AVE
JERSEY CITY NJ 07305

Officer/Director/Trustee Five

JUNE JONES
TRUSTEE
317 PACIFIC AVE
JERSEY CITY NJ 07304

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/23/2014
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I71 - Spouse Abuse, Prevention of
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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