FORM 1023-EZ for UB4ME FOUNDATION A NJ NONPROFIT CORPORATION

Field Data
EIN 83-0747143
Case Number EO-2018155-000294
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UB4ME FOUNDATION A NJ NONPROFIT CORPORATION
Organization’s Mailing Address 1020 GOWDY AVENUE
City POINT PLEASANT BEACH
State NJ
ZIP 8742-2936
Accounting period End 12
Primary contact name KEITH HERTLING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEITH HERTLING
PRES, TREAS, CHAIRMAN TRUSTEES
1020 GOWDY AVENUE
POINT PLEASANT BEACH NJ 8742-2963

Officer/Director/Trustee Two

JOHN HUGHES
,SECRETARY, TRUSTEE
650 THEILE ROAD
BRICK NJ 8724-1141

Officer/Director/Trustee Three

CHRIS STRIPTO
TRUSTEE
71 CHARLESTON ROAD
BRICK NJ 8724-4559

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/7/18
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G84 - Autism
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 KEITH HERTLING
Signature Title PRES, TREAS, CHAIRMAN TRUSTEES
Signature Date 6/1/18

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