FORM 1023-EZ for ANTIOCH CDC

Field Data
EIN 83-1564282
Case Number EO-2019030-000214
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ANTIOCH CDC
Organization’s Mailing Address 640 SOUTH SPRINGFIELD AVENUE
City SPRINGFIELD
State NJ
ZIP 7081
Accounting period End 12
Primary contact name MILTON B HOBBS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLEVELAND BURTON JR
PRESIDENT
1458 SOUTH END PKWY
PLAINFIELD NJ 7060

Officer/Director/Trustee Two

SHAROLYN FRANKLIN
VICE PRESIDENT
11 RUBY STREET
SPRINGFIELD NJ 7081

Officer/Director/Trustee Three

DORIAN DORSEY
SECRETARY
839F VALLEY STREET
VAUXHALL NJ 7088

Officer/Director/Trustee Four

LISA FLEMING
ASST SECRETARY
36 GIRARD AVENUE
VAUXHALL NJ 7088

Officer/Director/Trustee Five

LAVONNE PACK
TREASURER
1085 LIBERTY AVENUE
UNION NJ 7083

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/30/18
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
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 CLEVELAND BURTON JR
Signature Title PRESIDENT
Signature Date 12/21/18

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