FORM 1023-EZ for REBORN

Field Data
EIN 82-4329471
Case Number EO-2018136-000591
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REBORN
Organization’s Mailing Address 37 7TH ST
City FLAGTOWN
State NJ
ZIP 8821
Accounting period End 3
Primary contact name MAGGIE ROSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MAGGIE ROSE MACAR
CO FOUNDER/ PRESIDENT
3575 VALLEY RD
LIBERTY CORNER NJ 7938

Officer/Director/Trustee Two

NICOLE HERBIG
VICE PRESIDENT/ CO FOUNDER
37 7TH ST
FLAGTOWN NJ 8821

Officer/Director/Trustee Three

CHARLES CORDING
CHIEF ADVISOR
28 GATES AVE
MONTCLAIR NJ 7042

Organization’s website REBORN.SOCIAL
Organization’s email INFO@REBORN.SOCIAL
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/14/18
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F80 - Mental Health Association, Multipurpose
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 Yes
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 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 MAGGIE ROSE MACAR
Signature Title CO FOUNDER/ PRESIDENT
Signature Date 5/14/18

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