FORM 1023-EZ for HENRYS HALOS FOUNDATION A NJ NONPROFIT CORPORATION

Field Data
EIN 47-4511923
Case Number EO-2015268-000319
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HENRYS HALOS FOUNDATION A NJ NONPROFIT CORPORATION
Organization’s Mailing Address 272 HIGH MOUNTAIN ROAD
City NORTH HALEDON
State NJ
ZIP 07508
Accounting period End 12
Primary contact name JENNA TRIANO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JENNA TRIANO
PRESIDENT
14 WOOD CHASE LANE
KINNELON NJ 07405

Officer/Director/Trustee Two

DEBORAH KUSIAK
SECRETARY
8 ALEXANDER AVENUE
POMPTON PLAINS NJ 07444

Officer/Director/Trustee Three

JAMES CATALANO
TREASURER
29 HIGHLAND DRIVE
KINNELON NJ 07405

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/14/2015
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S31 - Urban, Community Economic Development
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity Yes
Disaster relief assistance Yes
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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