FORM 1023-EZ for TEWKSBURY LEBANON PBS LOCAL 386 A NEW JERSEY NONPROFIT

Field Data
EIN 47-1578858
Case Number EO-2014230-000231
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TEWKSBURY LEBANON PBS LOCAL 386 A NEW JERSEY NONPROFIT
Organization’s Mailing Address P O BOX 208
City OLDWICK
State NJ
ZIP 08858
Accounting period End 12
Primary contact name MATTHEW KROK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MATTHEW KROK
TRUSTEE
51 CANTERBURY ROAD
PHILLIPSBURG NJ 08865

Officer/Director/Trustee Two

CHRIS GURNEAK
TRUSTEE
60 FOX FARM ROAD
PHILLIPSBURG NJ 08865

Officer/Director/Trustee Three

VINCENT MANKOWSKI JR
TRUSTEE
516 SPRUCE HILLS DRIVE
GLEN GARDNER NJ 08826

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/13/2014
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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