FORM 1023-EZ for KERRI HOLBROOK FOUNDATION INC

Field Data
EIN 47-2345126
Case Number EO-2014329-000202
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KERRI HOLBROOK FOUNDATION INC
Organization’s Mailing Address 4 ALLAN WAY
City BETHEL
State CT
ZIP 06801
Accounting period End 12
Primary contact name ALEXANDRA GANGITANO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WILLIAM HOLBROOK
CO-CHAIRMAN
4 ALLAN WAY
BETHEL CT 06801

Officer/Director/Trustee Two

SUSAN HOLBROOK
CO-CHAIRMAN
4 ALLAN WAY
BETHEL CT 06801

Officer/Director/Trustee Three

CONNOR HOLBROOK
CO-CHAIRMAN
4 ALLAN WAY
BETHEL CT 06801

Officer/Director/Trustee Four

ALEXANDRA GANGITANO
PRESIDENT
2439 TUNLAW RD NW
WASHINGTON DC 20007

Organization’s website KERRIHOLBROOKFOUNDATION.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/21/2014
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
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
Signature Title
Signature Date

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