FORM 1023-EZ for DOMINIQUE DALESSIO MEMORIAL FUND

Field Data
EIN 87-1844932
Case Number EO-2021209-000241
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DOMINIQUE DALESSIO MEMORIAL FUND
Organization’s Mailing Address 91 ARCH BRIDGE ROAD
City BETHLEHEM
State CT
ZIP 06751
Accounting period End 12
Primary contact name DONALD CIAMPI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBORAH DALESSIO
PRESIDENT
91 ARCH BRIDGE ROAD
BETHLEHEM CT 06751

Organization’s website DOMINIQUE DALESSIO MEMORIAL FUND
Organization’s email DJCJR@CIAMPITAX.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2021
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 DEBORAH DALESSIO
Signature Title PRESIDENT
Signature Date 7/26/2021

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