FORM 1023-EZ for MATEO BOLTON HOUSE

Field Data
EIN 47-2047494
Case Number EO-2015120-000273
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MATEO BOLTON HOUSE
Organization’s Mailing Address 122 PLANE ST APT 4B
City BOONTON
State NJ
ZIP 07005
Accounting period End 7
Primary contact name GUY PUGSLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GUY PUGSLEY
CEO
122 PLANE STREET APT 4B
BOONTON NJ 07005

Officer/Director/Trustee Two

MS REINA LABORI PRIETO
TREASURER
73 HARRISON ST
BELLEVILLE NJ 07109

Officer/Director/Trustee Three

BRANDON BOLTON
SECRETARY
122 PLANE ST APT 4B
BOONTON NJ 07005

Organization’s website WWW.FACEBOOK.COM/MATEOBOLTONHOUSE
Organization’s email MATEOHOUSE15@OPTIMUM.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/14/2015
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L40 - Low-Cost Temporary Housing
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 Yes
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
Signature Title
Signature Date

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