FORM 1023-EZ for GMODEL INC

Field Data
EIN 47-4451633
Case Number EO-2015190-000309
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GMODEL INC
Organization’s Mailing Address 1505 VELDE AVENUE
City PENNSAUKEN
State NJ
ZIP 08110
Accounting period End 12
Primary contact name GEORGE I JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARIBEL ORTIZ
CHAIRWOMAN
1505 VELDE AVENUE
PENNSAUKEN NJ 08110

Officer/Director/Trustee Two

GEORGE JONES
TREASURE
14 GLENN FORGE DRIVE
SICKLERVILLE NJ 08081

Officer/Director/Trustee Three

MARIA PERVALT
DIRECTOR
170 N TRIGG STREET
GALLATIN TN 37066

Officer/Director/Trustee Four

LINDA OBERLTON
DIRECTOR
1505 VELDE AVENUE
PENNSAUKEN NJ 08110

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/18/2014
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 Yes
One Third Support Gifts No
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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