FORM 1023-EZ for FAMILY EMPOWERMENT DESTINATIONS

Field Data
EIN 85-3875618
Case Number EO-2020321-000574
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FAMILY EMPOWERMENT DESTINATIONS
Organization’s Mailing Address 76 W JIMMIE LEEDS RD STE 305
City GALLOWAY
State NJ
ZIP 08205
Accounting period End 12
Primary contact name CARLOS STORCK-MARTINEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARLOS STORCK-MARTINEZ
DIRECTOR
805 STERLING PL
BRIGANTINE NJ 08203

Officer/Director/Trustee Two

GREGORY KOGUC
CHIEF EXECUTIVE OFFICER
102 BRIARCLIFF DR
EGG HARBOR TOWNSHIP NJ 08234

Officer/Director/Trustee Three

JOSEPH ACCARDI
DIRECTOR
24 CRESTVIEW AVE
SOMERS POINT NJ 08244

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/1/2020
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F32 - Community Mental Health Center
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name CARLOS STORCK-MARTINEZ
Signature Title DIRECTOR
Signature Date 11/12/2020

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