FORM 1023-EZ for ANN D WHITE FOUNDATION

Field Data
EIN 84-1876639
Case Number EO-2019169-000466
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ANN D WHITE FOUNDATION
Organization’s Mailing Address 822 OCEAN RD
City POINT PLEASANT
State NJ
ZIP 8742
Accounting period End 12
Primary contact name SCOTT WHITE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT WHITE
PRESIDENT/DIRECTOR
822 OCEAN RD
POINT PLEASANT NJ 8742

Officer/Director/Trustee Two

BETH MANESS
TREASURER/SECRETARY
822 OCEAN RD
POINT PLEASANT NJ 8742

Officer/Director/Trustee Three

PAT CLIMENTI
DIRECTOR
822 OCEAN RD
POINT PLEASANT NJ 8742

Officer/Director/Trustee Four

MATT BEGOVICH
DIRECTOR
822 OCEAN RD
POINT PLEASANT NJ 8742

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/29/19
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 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 SCOTT WHITE
Signature Title PRESIDENT/DIRECTOR
Signature Date 6/14/19

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