FORM 1023-EZ for ANGEL HEALTHCARE FOUNDATION A NJ NONPROFIT CORPORATION

Field Data
EIN 81-1222920
Case Number EO-2020307-000582
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ANGEL HEALTHCARE FOUNDATION A NJ NONPROFIT CORPORATION
Organization’s Mailing Address 5 GEORGIA ST 2ND FL
City JACKSON
State NJ
ZIP 08527
Accounting period End 12
Primary contact name CAROLINE ADESANYA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAROLINE ADESANYA
PRESIDENT/DIRECTOR/OWNER
5 GEORGIA ST
JACKSON NJ 08527

Officer/Director/Trustee Two

GARY IBIDUNNI
TREASURER
1307 IDABRIGHT DRIVE
PLAINFIELD IL 60586

Officer/Director/Trustee Three

DORIS HASSAN
SECRETARY
2 PRIMROSE LN APT 1S
FORDS NJ 08863-1811

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/26/2016
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance Yes
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 CAROLINE ADESANYA
Signature Title PRESIDENT/DIRECTOR/OWNER
Signature Date 10/30/2020

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