FORM 1023-EZ for MISS TALENTED SCHOLASTIC TEENS OF NJ INC

Field Data
EIN 22-3475789
Case Number EO-2019268-000257
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MISS TALENTED SCHOLASTIC TEENS OF NJ INC
Organization’s Mailing Address 147 TUSSEL LANE
City SCOTCH PLAINS
State NJ
ZIP 7076
Accounting period End 12
Primary contact name CAMILLE R DOUGLAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAMILLE R DOUGLAS
FOUNDER EXECUTIVE DIRECTOR
147 TUSSEL LANE
SCOTCH PLAINS NJ 7076

Officer/Director/Trustee Two

GUY C JOHNSON
PRESIDENT
4 16 121ST STREET
COLLEGE PARK NY 11356

Officer/Director/Trustee Three

VERNON ANTHONY
VICE PRESIDENT
26 WOODLAKE DRIVE
PISCATAWAY NJ 8854

Officer/Director/Trustee Four

DONALD PARKER JR
PROGRAM DIRECTOR ADVISOR
715 HARBORTOWN BLVD
PERTH AMBOY NJ 8861

Officer/Director/Trustee Five

SHEILA JOHNSON
SECRETARY
4 16 121ST STREET
COLLEGE PARK NY 11356

Organization’s website WWW.MISSTSTNJ.ORG
Organization’s email MISSTSTNJ.CRD@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/15/96
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 Yes
Correctness Declaration Yes
Signature Name CAMILLE R DOUGLAS
Signature Title FOUNDER EXECUTIVE DIRECTOR
Signature Date 9/23/19
EIN 22-3475789
Case Number EO-2016355-000138
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MISS TALENTED SCHOLASTIC TEENS OF NEW JERSEY INC
Organization’s Mailing Address 147 TUSSEL LANE
City SCOTCH PLAINS
State NJ
ZIP 07076
Accounting period End 12
Primary contact name CAMILLE R DOUGLAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAMILLE R DOUGLAS
FOUNDER - EXECUTIVE DIRECTOR
147 TUSSEL LANE
SCOTCH PLAINS NJ 07076

Officer/Director/Trustee Two

GUY JOHNSON
PRESIDENT
4-16 121ST STREET
COLLEGE POINT NY 11356

Officer/Director/Trustee Three

VERNON ANTHONY
VICE PRESIDENT
26 WOODLAKE DRIVE
PISCATAWAY NJ 08854

Officer/Director/Trustee Four

LISA SHEPARD STEWART
MARKETING DIRECTOR
PO BOX 356
RAHWAY NJ 07065

Officer/Director/Trustee Five

STEVE MOORE
PUBLIC RELATIONS
1311 PUTNAM AVENUE
PLAINFIELD NJ 07060

Organization’s website WWW.MISSTSTNJ.ORG
Organization’s email MISSTSTNJ.CRD@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/15/1996
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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