FORM 1023-EZ for ASSISI FOUNDATION INC

Field Data
EIN 31-1800408
Case Number EO-2020177-000367
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ASSISI FOUNDATION INC
Organization’s Mailing Address 4 BROADWAY AVE EXTENSION UNIT 3A
City MYSTIC
State CT
ZIP 06355
Accounting period End 12
Primary contact name FRANK CODY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL CONFORTI
PRESIDENT
4 BROADWAY AVE
MYSTIC CT 06355

Officer/Director/Trustee Two

SILVIA BEHREND
VICE PRESIDENT
2331 BETHEL ST NE
OLYMPIA WA 98506

Officer/Director/Trustee Three

NINA KELLY
DIRECTOR
4229 LIVE OAK BLVD
DELRAY BEACH FL 33445

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/26/2001
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
Organization’s purpose Charitable: Yes
Religious: No
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 Yes
Conducting Activities Outside of United States Yes
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 MICHAEL CONFORTI
Signature Title PRESIDENT
Signature Date 6/16/2020

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