FORM 1023-EZ for THE BRYAN CROCKER MEMORIAL FUND
| Field | Data |
|---|---|
| EIN | 47-7415483 |
| Case Number | EO-2017150-000212 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | THE BRYAN CROCKER MEMORIAL FUND |
| Organization’s Mailing Address | 5065 37TH ST N |
| City | ARLINGTON |
| State | VA |
| ZIP | 22207 |
| Accounting period End | 12 |
| Primary contact name | DIANE CROCKER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
DIANE CROCKER
TRUSTEE, DIRECTOR
5065 37TH ST N
ARLINGTON VA 22207
Officer/Director/Trustee Two
GARY CROCKER
DIRECTOR
5065 37TH ST N
ARLINGTON VA 22207
Officer/Director/Trustee Three
MICHAEL GREENE
DIRECTOR
3828 FELLSWAY DRIVE
CHARLOTTE NC 28209
Officer/Director/Trustee Four
ANNA GREENE
DIRECTOR
3828 FELLSWAY DRIVE
CHARLOTTE NC 28209
Officer/Director/Trustee Five
HEATHER TARASKA
DIRECTOR
907 WARREN BURGESS LN
CHARLOTTE NC 28205
| Organization’s website | HTTP://WWW.THECROCKERFUND.COM/ |
|---|---|
| Organization’s email | INFO@THECROCKERFUND.COM |
| Organization Incorporated | |
| Organization trust | Yes |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/20/2015 |
| Organization Incorporation State | NC |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E86 - Patient Services - Entertainment, Recreation |
| 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 | 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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