FORM 1023-EZ for HACKETTSTOWN ELKS CHARITIES

Field Data
EIN 86-2662143
Case Number EO-2021097-001552
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HACKETTSTOWN ELKS CHARITIES
Organization’s Mailing Address 510 WARREN STREET
City HACKETTSTOWN
State NJ
ZIP 07840
Accounting period End 12
Primary contact name MICHAEL J LEYDEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL LEYDEN
VICE PRESIDENT
510 WARREN STREET
HACKETTSTOWN NJ 07840

Officer/Director/Trustee Two

FRED SPAGES
PRESIDENT
23 DONALD AVE
NEWTON NJ 07860

Officer/Director/Trustee Three

JEFFERY PALISCAK
VICE PRESIDENT
7 MIDLAND AVE
WASHINGTON NJ 07882

Officer/Director/Trustee Four

WOLFGANG BOERNERT
TREASURER
470 SCHOOLEYS MOUNTAIN ROAD
HACKETTSTOWN NJ 07840

Officer/Director/Trustee Five

CAROL LEE SPAGES
SECRETARY
23 DONALD AVE
NEWTON NJ 07860

Organization’s website
Organization’s email mleyden@adeptmobile.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/9/2021
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
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 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 MICHAEL LEYDEN
Signature Title VICE PRESIDENT
Signature Date 3/16/2021

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