FORM 1023-EZ for SOUTHERN JERSEY ASSOCIATION OF BLACK SOCIAL WORKERS

Field Data
EIN 47-2347065
Case Number EO-2015050-000013
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTHERN JERSEY ASSOCIATION OF BLACK SOCIAL WORKERS
Organization’s Mailing Address PO BOX 507
City MAYS LANDING
State NJ
ZIP 08330
Accounting period End 12
Primary contact name DEBORAH HAMANI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEBORAH HAMANI
PRESIDENT
300 GLENN AVE
EGG HARBOR TOWNSHIP NJ 08234

Officer/Director/Trustee Two

MICHELLE BROWN
VICE PRESIDENT
300 GLENN AVE
EGG HARBOR TOWNSHIP NJ 08234

Officer/Director/Trustee Three

LOIS TAYLOR
EXECUTIVE TREASURER
300 GLENN AVE
EGG HARBOR TOWNSHIP NJ 08234

Officer/Director/Trustee Four

SHAMIEKA SPENCE
EXECUTIVE SECRETARY
38 MATTIX RUN
GALLOWAY NJ 08205

Officer/Director/Trustee Five

SHANTIA MURPHY
ASSISTANT TREASURER
138B CRESTVIEW AVE
ABSECON NJ 08201

Organization’s website
Organization’s email SOUTHERNJERSEYABSW@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/18/2014
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
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 Yes
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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