FORM 1023-EZ for THOMAS J BERLINGHOFF MEMORIAL FUND

Field Data
EIN 82-5211290
Case Number EO-2018136-000239
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THOMAS J BERLINGHOFF MEMORIAL FUND
Organization’s Mailing Address 15 NELSON BLVD
City BREWSTER
State NY
ZIP 10509
Accounting period End 12
Primary contact name JIMMY SIMMONS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES SIMMONS
PRESIDENT
15 NELSON BLVD
BREWSTER NY 10509

Officer/Director/Trustee Two

KATHLEEN BERLINGHOFF
VICE PRESIDENT
43 STATELINE RD
MILLERTON NY 12546

Officer/Director/Trustee Three

THOMAS PALINKAS
VICE PRESIDENT
61 WILLOW STREET
PINE PLAINS NY 12567

Officer/Director/Trustee Four

JENNIFER SIMMONS
TREASURER AND SECRETARY
15 NELSON BLVD
BREWSTER NY 10509

Organization’s website
Organization’s email THOMAS.J.BERLINGHOFF.MEMORIAL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/6/18
Organization Incorporation State DE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
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 Yes
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 JAMES SIMMONS
Signature Title PRESIDENT
Signature Date 5/11/18

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