FORM 1023-EZ for CHIPPIN IN TO MAKE A DIFFERENCE FOUNDATION

Field Data
EIN 45-4663079
Case Number EO-2016103-000087
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHIPPIN IN TO MAKE A DIFFERENCE FOUNDATION
Organization’s Mailing Address 3 CASS STREET
City KEYPORT
State NJ
ZIP 07735
Accounting period End 12
Primary contact name ADAM KAPLAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ADAM KAPLAN
PRESIDENT
3 CASS STREET
KEYPORT NJ 07735

Officer/Director/Trustee Two

GERALD MARTIN
VICE PRESIDENT
96 FRENEAU AVENUE
MATAWAN NJ 07747

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/29/2012
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 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
Signature Title
Signature Date

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