FORM 1023-EZ for TRI-STATE TRILLIUM FOUNDATION

Field Data
EIN 85-3417694
Case Number EO-2020321-000543
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TRI-STATE TRILLIUM FOUNDATION
Organization’s Mailing Address 47541 SUMMERSET ROAD
City EAST LIVERPOOL
State OH
ZIP 43920
Accounting period End 12
Primary contact name CHRISTOPHER PRITT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTOPHER PRITT
DIRECTOR
435 VINE STREET
EAST LIVERPOOL OH 43920

Officer/Director/Trustee Two

DAWNE BEDNAREK
DIRECTOR
47541 SUMMERSET ROAD
EAST LIVERPOOL OH 43920

Officer/Director/Trustee Three

DEBRA SMITH
DIRECTOR
928 SAINT GEORGE STREET
EAST LIVERPOOL OH 43920

Organization’s website
Organization’s email tstfscholarship@gmail.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/12/2020
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - 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 PRITT
Signature Title DIRECTOR
Signature Date 11/12/2020

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