FORM 1023-EZ for DEREKA CROSBY FOUNDATION
| Field | Data |
|---|---|
| EIN | 30-0611830 |
| Case Number | EO-2016070-000340 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | DEREKA CROSBY FOUNDATION |
| Organization’s Mailing Address | 8 PARKER STREET |
| City | LINCOLN |
| State | RI |
| ZIP | 02865 |
| Accounting period End | 12 |
| Primary contact name | BARBARA CROSBY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
BARBARA CROSBY
TRUSTEE
8 PARKER STREET
LINCOLN RI 02865
Officer/Director/Trustee Two
DONNA THERIAULT
TRUSTEE
46 BASKING RIDGE ROAD
LINCOLN RI 02865
Officer/Director/Trustee Three
ANDREA RICCIA
TRUSTEE
2 SACK STREET
PROVIDENCE RI 02911
Officer/Director/Trustee Four
SEAN CLOUGH
DIRECTOR
12 BRAYTON ROAD
SMITHFIELD RI 02917
Officer/Director/Trustee Five
NANCY ALVES
DIRECTOR
128 FEDERAL STREET
PROVIDENCE RI 02905
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/11/2011 |
| Organization Incorporation State | RI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P80 - Services to Promote the Independence of Specific Populations |
| 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 | No |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | |
| Signature Title | |
| Signature Date |
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