FORM 1023-EZ for ASBURY PARK TRANSFORMATIVE JUSTICE PROJECT

Field Data
EIN 81-5166285
Case Number EO-2017058-000544
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ASBURY PARK TRANSFORMATIVE JUSTICE PROJECT
Organization’s Mailing Address 1108 FIRST AAVENUE
City ASBURY PARK
State NJ
ZIP 07712
Accounting period End 12
Primary contact name KRIS HLATKY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEREK BLOOM
EXECUTIVE DIRECTOR
1108 1ST AVE
ASBURY PARK NJ 07712

Officer/Director/Trustee Two

KRIS HLATKY
MANAGING DIRECTOR
301 TILTON PLACE
NEPTUNE NJ 07753

Officer/Director/Trustee Three

JENNIFER LEWINSKI
MANAGING DIRECTOR
1034 SEWALL AVE
ASBURY PARKK NJ 07712

Officer/Director/Trustee Four

LIZA MINNO
ADMINISTRATOR
1108 1ST AVE
ASBURY PARK NJ 07712

Organization’s website
Organization’s email TRANFORMATIVEJUSTICEAP@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/30/2017
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I31 - Transitional Care, Half-Way House for Offenders, Ex-Offenders
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 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 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
Signature Title
Signature Date

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