FORM 1023-EZ for BLACK MEADOW MUTUAL AID

Field Data
EIN 22-2567300
Case Number EO-2018302-000480
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLACK MEADOW MUTUAL AID
Organization’s Mailing Address 62 KINGS ROAD
City MADISON
State NJ
ZIP 7940
Accounting period End 12
Primary contact name LOU DEROSA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LOUIE DEROSA
SEC/TRES
62 KINGS ROAD
MADISON NJ 7940

Officer/Director/Trustee Two

CHAD DIGIORGIO
PRESIDENT
82 RIDGEDALE AVE
CEDAR KNOLLS NJ 7927

Officer/Director/Trustee Three

JOE CORTRIGHT
VICE-PRESIDENT
440 ROUTE 10
WHIPPANY NJ 7981

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/5/77
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M24 - Fire Prevention, Protection, Control
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LOUIE DEROSA
Signature Title SEC/TRES
Signature Date 10/26/18

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