FORM 1023-EZ for SUSAN A FOUNDATION
| Field | Data |
|---|---|
| EIN | 84-4246933 |
| Case Number | EO-2020051-000444 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | SUSAN A FOUNDATION |
| Organization’s Mailing Address | 428 WASHINGTON AVE |
| City | BELLEVILLE |
| State | NJ |
| ZIP | 07109 |
| Accounting period End | 12 |
| Primary contact name | MICHAEL JOLAS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MICHAEL JOLAS
REGISTERED (CEO)
428 WASHINGTON AVENUE
BELLEVILLE NJ 07109
Officer/Director/Trustee Two
SUSAN ADCOCK
TRUSTEE
428 WASHINGTON AVE
BELLEVILLE NJ 07109
Officer/Director/Trustee Three
STELLA MUSCARELLA
TRUSTEE
79 WOODLAND TERRACE
VERONANJ NJ 07044
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/10/2020 |
| Organization Incorporation State | NJ |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P43 - Family Violence Shelters, Services |
| 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 | Yes |
| Conducting Activities Outside of United States | No |
| Financial transactions with officers | No |
| Unrelated Gross Income $1,000 or More | Yes |
| Gaming Activity | No |
| Disaster relief assistance | Yes |
| One Third Support Public | No |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | MICHAEL JOLAS |
| Signature Title | REGISTERED (CEO) |
| Signature Date | 2/18/2020 |
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