FORM 1023-EZ for THE NICKOLAS DONNELLY MEMORIAL FOUNDATION INC

Field Data
EIN 82-3762293
Case Number EO-2018011-000084
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE NICKOLAS DONNELLY MEMORIAL FOUNDATION INC
Organization’s Mailing Address 3 CHAMBORD CT
City SHOREHAM
State NY
ZIP 11786
Accounting period End 12
Primary contact name CHRISTOPHER DONNELLY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTOPHER DONNELLY
PRESIDENT
3 CHAMBORD CT
SHOREHAM NY 11786

Officer/Director/Trustee Two

KRISTEN DONNELLY
TREASURER
3 CHAMBORD CT
SHOREHAM NY 11786

Officer/Director/Trustee Three

MATTHEW DONNELLY
CLERK
35 LINCOLN DRIVE
ROCKY POINT NY 11778

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/28/17
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - Fund Raising and/or Fund Distribution
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 CHRISTOPHER DONNELLY
Signature Title PRESIDENT
Signature Date 1/9/18

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