FORM 1023-EZ for FAMILY CHILD CARE ASSOCIATION INSTILLING TOLERANCE & HOPE

Field Data
EIN 86-3132012
Case Number EO-2021179-000306
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FAMILY CHILD CARE ASSOCIATION INSTILLING TOLERANCE & HOPE
Organization’s Mailing Address PO BOX 5150
City PLAINFIELD
State NJ
ZIP 07060
Accounting period End 12
Primary contact name THERESA A BLOUNT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THERESA BLOUNT
VICE PRESIDENT
195 WEST MARKET STREET APT 3C
NEWARK NJ 07103

Officer/Director/Trustee Two

BEVERLY LEE
PRESIDENT
177 STAHLS WAY
NORTH PLAINFIELD NJ 07060

Officer/Director/Trustee Three

CAREN HAYNES
TREASURER
74 RIDGEWOOD AVENUE
GLEN RIDGE NJ 07028

Officer/Director/Trustee Four

MICHELLE BURRESS
SECRETARY
2 NORTHGATE LANE
WILLINGBORO NJ 08046

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/13/2021
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S03 - Professional Societies, Associations
Organization’s purpose Charitable: No
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 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 THERESA BLOUNT
Signature Title VICE PRESIDENT
Signature Date 6/24/2021

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