FORM 1023-EZ for JOHN W FAHEY MEMORIAL CHARITY GOLFOUTING

Field Data
EIN 83-0979904
Case Number EO-2018177-000098
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JOHN W FAHEY MEMORIAL CHARITY GOLFOUTING
Organization’s Mailing Address 15 MAY AVE
City POMPTON PLAINS
State NJ
ZIP 7444
Accounting period End 12
Primary contact name MARY S FAHEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY FAHEY
PRESIDENT/ DIRECTOR
15 MAY AVE
POMPTON PLAINS NJ 7444

Officer/Director/Trustee Two

MICHAEL KELLENBACH
TREASURER
11 SANDRA LANE
BLOOMINGDALE NJ 7403

Officer/Director/Trustee Three

GARY SHAWAH
CHAIRPERSON OF GOVERNING BODY
19 ANDREWS PLACE
POMPTON PLAINS NJ 7444

Organization’s website NONE
Organization’s email SHANNONFJ23@OPTONLINE.NET
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/18
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B25 - Secondary, High School
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 No
Donation of funds Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MARY FAHEY
Signature Title PRESIDENT/ DIRECTOR
Signature Date 6/24/18
EIN 83-0979904
Case Number EO-2018177-000098
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JOHN W FAHEY MEMORIAL CHARITY GOLF OUTING
Organization’s Mailing Address 15 MAY AVE
City POMPTON PLAINS
State NJ
ZIP 7444
Accounting period End 12
Primary contact name MARY S FAHEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY FAHEY
PRESIDENT/ DIRECTOR
15 MAY AVE
POMPTON PLAINS NJ 7444

Officer/Director/Trustee Two

MICHAEL KELLENBACH
TREASURER
11 SANDRA LANE
BLOOMINGDALE NJ 7403

Officer/Director/Trustee Three

GARY SHAWAH
CHAIRPERSON OF GOVERNING BODY
19 ANDREWS PLACE
POMPTON PLAINS NJ 7444

Organization’s website NONE
Organization’s email SHANNONFJ23@OPTONLINE.NET
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/18
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B25 - Secondary, High School
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 No
Donation of funds Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MARY FAHEY
Signature Title PRESIDENT/ DIRECTOR
Signature Date 6/24/18

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