FORM 1023-EZ for STAY SAFE FOUNDATION

Field Data
EIN 82-1572808
Case Number EO-2018332-000099
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name STAY SAFE FOUNDATION
Organization’s Mailing Address 27 E MAIN ST C/O BLUE TITAN
City ROCKAWAY
State NJ
ZIP 7866
Accounting period End 12
Primary contact name ERIC BASEK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIC BASEK
PRESIDENT
27 E MAIN ST C/O BLUE TITAN
ROCKAWAY NJ 7866

Officer/Director/Trustee Two

JUSTIN BURNASH
VICE PRESIDENT
27 E MAIN ST C/O BLUE TITAN
ROCKAWAY NJ 7866

Officer/Director/Trustee Three

RHYS MARTEN
SECRETARY
27 E MAIN ST C/O BLUE TITAN
ROCKAWAY NJ 7866

Officer/Director/Trustee Four

ROB CURTIS
TREASURER
27 E MAIN ST C/O BLUE TITAN
ROCKAWAY NJ 7866

Officer/Director/Trustee Five

AMANDA BASEK
DIRECTOR
27 E MAIN ST C/O BLUE TITAN
ROCKAWAY NJ 7866

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/11/17
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 ERIC BASEK
Signature Title PRESIDENT
Signature Date 11/26/18

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