FORM 1023-EZ for SHAMEENA & ARTHUR WILLIAMS KIDNEY FOUNDATION

Field Data
EIN 87-2491906
Case Number EO-2021256-000248
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHAMEENA & ARTHUR WILLIAMS KIDNEY FOUNDATION
Organization’s Mailing Address 74 BROADMAN PARKWAY
City JERSEY CITY
State NJ
ZIP 07305
Accounting period End 12
Primary contact name OTTO R MOSS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ASIA WILLIAMS
TRUSTEE
97 CHESTNUT AVENUE
IRVINGTON NJ 07114

Officer/Director/Trustee Two

BELINDA COUNCIL
TRUSTEE
241 16TH STREET
JERSEY CITY NJ 07310

Officer/Director/Trustee Three

IRMA WILLIAMS
TRUSTEE
67 WEGMAN PARKWAY
JERSEY CITY NJ 07305

Officer/Director/Trustee Four

TYSHA TRENT
TRUSTEE
13 PALISADE AVENUE
JERSEY CITY NJ 07306

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/3/2021
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L12 - Fund Raising and/or Fund Distribution
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 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 ASIA WILLIAMS
Signature Title TRUSTEE
Signature Date 9/9/2021

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