FORM 1023-EZ for INDIGENOUS CATHOLIC RESEARCH FELLOWSHIP

Field Data
EIN 86-3965639
Case Number EO-2021148-000120
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INDIGENOUS CATHOLIC RESEARCH FELLOWSHIP
Organization’s Mailing Address 104 E AZTEC AVE
City GALLUP
State NM
ZIP 87301
Accounting period End 12
Primary contact name PATRICK MASON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAMIAN COSTELLO
CHAIR
22 WINSTER ST
MOTPELIER VT 05602

Officer/Director/Trustee Two

ROSE-ALMA MCDONALD
TREASURER
PO BOX 221
AKWESASNE NY 13655

Officer/Director/Trustee Three

MAURICE SANDS
DIRECTOR
2021 H STREET NW
WASHINGTON DC 20006-4207

Officer/Director/Trustee Four

SCOTT LYONS
DIRECTOR
305 PINEWOOD ST
ANN ARBOR MI 48103

Officer/Director/Trustee Five

PATRICK MASON
DIRECTOR
2 CRESTVIEW DR
NORTH HAVEN CT 06473

Organization’s website WWW.INDIGENOUSCATHOLIC.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/3/2021
Organization Incorporation State NM
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B05 - Research Institutes and/or Public Policy Analysis
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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 PATRICK MASON
Signature Title DIRECTOR
Signature Date 5/20/2021

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