FORM 1023-EZ for JONATHAN LUKE BLACK FOUNDATION INC

Field Data
EIN 85-3778892
Case Number EO-2021137-000172
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JONATHAN LUKE BLACK FOUNDATION INC
Organization’s Mailing Address 29 MARGARET DRIVE
City SOMERSET
State NJ
ZIP 08873
Accounting period End 6
Primary contact name MARTIN D HAUPTMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAYLOR BLACK
PRESIDENT TRUSTEE
29 MARGARET DRIVE
SOMERSET NJ 08873

Officer/Director/Trustee Two

HUNTER BLACK
TRUSTEE
29 MARGARET DRIVE
SOMERSET NJ 08873

Officer/Director/Trustee Three

PASQUALE BALESTRIERI
TRUSTEE
4 DARTMOOR DRIVE
SOMERSET NJ 08873

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/2/2020
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TAYLOR BLACK
Signature Title PRESIDENT TRUSTEE
Signature Date 5/12/2021

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