FORM 1023-EZ for NORTHERN NEW JERSEY ASSOCIATION OFBLACK SOCIAL WORKERS

Field Data
EIN 27-3103388
Case Number EO-2020233-000136
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTHERN NEW JERSEY ASSOCIATION OFBLACK SOCIAL WORKERS
Organization’s Mailing Address 60 EVERGREEN PLACE PO BOX 2533
City EAST ORANGE
State NJ
ZIP 07018-2106
Accounting period End 12
Primary contact name DREWSILLA M THORNE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DREWSILLA THORNE
TREASURER
8 ORCHARD RD
MAPLEWOOD NJ 07040-2849

Officer/Director/Trustee Two

CARLINE PETIOTE
PRESIDENT
328 NORTH STILES ST
LINDEN NJ 07036-5768

Officer/Director/Trustee Three

KAREN DEAS
SECRETARY
2 CRYSTAL LANE
PATERSON NJ 07501-3370

Officer/Director/Trustee Four

MICHELLE JEFFERSON SIMMONS
VICE PRESIDENT
35 STYVESANT AVE
NEWARK NJ 07106-1711

Organization’s website
Organization’s email NJBLACKSW@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2010
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DREWSILLA THORNE
Signature Title TREASURER
Signature Date 8/17/2020

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