FORM 1023-EZ for BRADLEY LAFONTAINE MEMORIAL TRUST

Field Data
EIN 47-6594307
Case Number EO-2015071-000926
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BRADLEY LAFONTAINE MEMORIAL TRUST
Organization’s Mailing Address 194 HIGH ST
City UXBRIDGE
State MA
ZIP 01569
Accounting period End 12
Primary contact name LISA FOURNIER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LISA FOURNIER
TRUSTEE
194 HIGH ST
UXBRIDGE MA 01569

Officer/Director/Trustee Two

MARIANNE KANE
TRUSTEE
284 OLD FORGE ROAD
WARWICK RI 02818

Organization’s website
Organization’s email
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 11/4/2014
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
Organization’s purpose Charitable: No
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 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
Signature Title
Signature Date

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