FORM 1023-EZ for GOLF BENEFIT FOR CHILDREN IN NEED

Field Data
EIN 83-0600845
Case Number EO-2018229-000138
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GOLF BENEFIT FOR CHILDREN IN NEED
Organization’s Mailing Address 22 WADSWORTH LANE
City WALLINGFORD
State CT
ZIP 6492
Accounting period End 12
Primary contact name ADRIANA BURGOS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ADRIANA BURGOS
MEMBER
22 WADSWORTH LANE
WALLINGFORD CT 6492

Officer/Director/Trustee Two

ANATOLY BRAYLOVSKY
MEMBER
22 WADSWORTH LANE
WALLINGFORD CT 6492

Organization’s website
Organization’s email ADRIANA.BURGOS37@YAHOO.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/18
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T20 - Private Grantmaking Foundations
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 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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ADRIANA BURGOS
Signature Title MEMBER
Signature Date 8/14/18

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