FORM 1023-EZ for MAKE 100 HEALTHY FOUNDATION INCORPORATED

Field Data
EIN 82-4537694
Case Number EO-2018066-000186
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MAKE 100 HEALTHY FOUNDATION INCORPORATED
Organization’s Mailing Address 275 PORT ROYAL DR
City TOMS RIVER,
State NJ
ZIP 8757
Accounting period End 12
Primary contact name JOHN MURPHY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN MURPHY
PRESIDENT OF THE BOARD
275 PORT ROYAL DR
TOMS RIVER NJ 8757

Officer/Director/Trustee Two

MICHAEL MURPHY
BOARD VICE PRESIDENT
59 WHIRLAWAY DR
TINTON FALLS NJ 7724

Officer/Director/Trustee Three

RAYMOND DISBROW
BOARD SECRETARY
275 PORT ROYAL DR
TOMS RIVER NJ 8757

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/14/18
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T03 - Professional Societies, Associations
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JOHN MURPHY
Signature Title PRESIDENT OF THE BOARD
Signature Date 3/5/18

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