FORM 1023-EZ for BRITTANY ROCHE FOUNDATION
| Field | Data |
|---|---|
| EIN | 81-3250834 |
| Case Number | EO-2019322-000457 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BRITTANY ROCHE FOUNDATION |
| Organization’s Mailing Address | 11 BRYERS LANE |
| City | ANTRIM |
| State | NH |
| ZIP | 3440 |
| Accounting period End | 12 |
| Primary contact name | DONNA ROCHE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
DONNA ROCHE
DIRECTOR/PRESIDENT
11 BRYERS LN
ANTRIM NH 3440
Officer/Director/Trustee Two
CINDY BOURGEAULT
DIRECTOR/TREASURER
412 PATCH RD
HENNIKER NH 3240
Officer/Director/Trustee Three
JOSEPH BOURGEAULT
DIRECTOR/SECRETARY
23 SWAN DRIVE
EAST TAUNTON MA 2718
Officer/Director/Trustee Four
JACKIE STRAUB
DIRECTOR
58 EDWARD RD
TOWNSEND MA 1469
Officer/Director/Trustee Five
ASHLEY SIPE
DIRECTOR
143 MOUNTAIN VIEW DRIVE
PETERBOROUGH NH 3458
| Organization’s website | WWW.BRITTANYROCHEFOUNDATION.ORG |
|---|---|
| Organization’s email | BRITTANYROCHEFOUNDATION@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/1/16 |
| Organization Incorporation State | NH |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | G80 - Specifically Named Diseases |
| 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 | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | DONNA ROCHE |
| Signature Title | DIRECTOR/PRESIDENT |
| Signature Date | 11/15/19 |
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