FORM 1023-EZ for LIVING WELL WITH PARKINSONS INC

Field Data
EIN 47-5210204
Case Number EO-2015292-000164
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIVING WELL WITH PARKINSONS INC
Organization’s Mailing Address 8 TUSCAN ROAD
City MAPLEWOOD
State NJ
ZIP 07040
Accounting period End 12
Primary contact name ROBERT ALAN STEPHENSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROBERT ALAN STEPHENSON
PRESIDENT, DIRECTOR
8 TUSCAN ROAD
MAPLEWOOD NJ 07040

Officer/Director/Trustee Two

GEORGE JOEL FOTINOS
SECRETARY, DIRECTOR
8 TUSCAN ROAD
MAPLEWOOD NJ 07040

Officer/Director/Trustee Three

JOSEPH A GRAZIANO
TREASURER, DIRECTOR
600 PROSPECT STREET
MAPLEWOOD NJ 07040

Officer/Director/Trustee Four

ROGER M KURLAN
DIRECTOR
99 BEAUVOIR AVENUE F1 5
SUMMIT NJ 07901

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/24/2015
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G80 - Specifically Named Diseases
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 Yes
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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