FORM 1023-EZ for PREEMIE PARENTS CLUB INCORPORATED

Field Data
EIN 32-0513352
Case Number EO-2019141-000096
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PREEMIE PARENTS CLUB INCORPORATED
Organization’s Mailing Address 420 HAWTHORNE AVENUE
City NEWARK
State NJ
ZIP 7112
Accounting period End 12
Primary contact name CHARLES AUFFANT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEANNA CONGERY
DIRECTOR
450 WEST 4TH STREET
PLAINFEILD NJ 7060

Officer/Director/Trustee Two

KALEENA BERRYMAN
DIRECTOR
7 MADISON AVENUE
JERSEY CITY NJ 7631

Officer/Director/Trustee Three

LAUREN WELLS
DIRECTOR
77 TENAFLY ROAD
ENGLEWOOD NJ 7631

Officer/Director/Trustee Four

HANAA ANWAR
DIRECTOR
375 MOUNT PROSPECT AVE
NEWARK NJ 7104

Officer/Director/Trustee Five

DENIQUA MATIAS
DIRECTOR
71 QUITMAN STREET
NEWARK NJ 7103

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/13/16
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E01 - Alliance/Advocacy Organizations
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 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 KALEENA BERRYMAN
Signature Title DIRECTOR
Signature Date 5/17/19

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