FORM 1023-EZ for LIFTROCKET CHARITABLE FUND A CORPORATION

Field Data
EIN 83-4394087
Case Number EO-2019154-000118
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIFTROCKET CHARITABLE FUND A CORPORATION
Organization’s Mailing Address 1177 HIGH RIDGE ROAD
City STAMFORD
State CT
ZIP 6905
Accounting period End 12
Primary contact name LEO DACIERNO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEO DACIERNO
DIRECTOR
1177 HIGH RIDGE ROAD
STAMFORD CT 6905

Officer/Director/Trustee Two

VAS PARUCHURI
DIRECTOR
25 FOREST STREET
STAMFORD CT 6901

Officer/Director/Trustee Three

CHARLOTTE DACIERNO
DIRECTOR
65B DANA STREET APT 22
CAMBRIDGE MA 2138

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/15/19
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LEO DACIERNO
Signature Title DIRECTOR
Signature Date 5/29/19

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