FORM 1023-EZ for GIVE A KID A DREAM A NJ NONPROFIT CORPORATION

Field Data
EIN 83-1684498
Case Number EO-2018239-000612
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GIVE A KID A DREAM A NJ NONPROFIT CORPORATION
Organization’s Mailing Address 10 PEARL ST
City LONG BRANCH
State NJ
ZIP 7740
Accounting period End 12
Primary contact name JACKLYN ATKINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACKLYN ATKINS
PRESIDENT
705 OHAGEN TERRACE
NEPTUNE NJ 7740

Officer/Director/Trustee Two

ALICIA FURMAN
SECRETARY
28 SPRING ROAD
MILLSTONE NJ 8510

Officer/Director/Trustee Three

JENNIFER THIEL
VICE PRESDENT
25 MEADOW AVE NO 53
MONMOUTH BEACH NJ 7750

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/23/18
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N40 - Sports Training Facilities, Agencies
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 JACKLYN ATKINS
Signature Title PRESIDENT
Signature Date 8/23/18

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