FORM 1023-EZ for SOUTH JERSEY INNOVATION CENTER A NJNONPROFIT CORPORATION

Field Data
EIN 81-4578631
Case Number EO-2016349-000285
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTH JERSEY INNOVATION CENTER A NJNONPROFIT CORPORATION
Organization’s Mailing Address 2003 LINCOLN DRIVE W STE A
City MARLTON
State NJ
ZIP 08053
Accounting period End 12
Primary contact name DOV GORMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DOV GORMAN
PRESIDENT
129 HOPEWELL RD
MARLTON NJ 08053

Officer/Director/Trustee Two

LEROY DUBECK
SECRETARY
932 EDGEMOOR RD
CHERRY HILL NJ 08034

Officer/Director/Trustee Three

SHLOMO STEMMER
TREASURER
28 COLLAGE LN
CHERRY HILL NJ 08003

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/2/2016
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U20 - Science, General
Organization’s purpose Charitable: No
Religious: No
Educational: No
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
Signature Title
Signature Date

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