FORM 1023-EZ for VINELAND CODE BLUE

Field Data
EIN 85-3380548
Case Number EO-2020287-000441
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VINELAND CODE BLUE
Organization’s Mailing Address 5 MADISON AVENUE
City MILLVILLE
State NJ
ZIP 08332
Accounting period End 12
Primary contact name CATHERINE GARDNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CATHERINE GARDNER
PRESIDENT
5 MADISON AVENUE
MILLVILLE NJ 08332

Officer/Director/Trustee Two

DORIS MORGAN
VICE PRESIDENT
838 TUSKA AVENUE
MILLVILLE NJ 08332

Officer/Director/Trustee Three

SHANNON PIERCE
SECRETARY
2110 MAYSLANDING ROAD 248
MILLVILLE NJ 08332

Officer/Director/Trustee Four

DARREN PIERCE
TREASURER
2110 MAYSLANDING ROAD 248
MILLVILLE NJ 08332

Officer/Director/Trustee Five

ELLEN JAIME-BORDOIS
BOARD MEMBER
407 FENIMORE STREET
VINELAND NJ 08360

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/2/2020
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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 CATHERINE GARDNER
Signature Title PRESIDENT
Signature Date 10/8/2020

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