FORM 1023-EZ for JOSEPH GRZELAK MEMORIAL FOUNDATIONINC

Field Data
EIN 83-1010089
Case Number EO-2018211-000201
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JOSEPH GRZELAK MEMORIAL FOUNDATIONINC
Organization’s Mailing Address 47 LAWLER LANE
City NORWICH
State CT
ZIP 6360
Accounting period End 6
Primary contact name MATTHEW WHITMORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATTHEW WHITMORE
PRESIDENT
47 LAWLER LANE
NORWICH CT 6360

Officer/Director/Trustee Two

BRENDAN FONTAINE
TREASURER
11 BLAIS RD
UNCASVILLE CT 6382

Officer/Director/Trustee Three

LAUREN WHITMORE
SECRETARY
47 LAWLER LANE
NORWICH CT 6360

Officer/Director/Trustee Four

ANASTASIOS BUNDY
DIRECTOR
115 COTTONWOOD LANE
UNCASVILLE CT 6382

Officer/Director/Trustee Five

ANN GRZELAK
DIRECTOR
70 JENNIFER LANE
GRISWOLD CT 6351

Organization’s website
Organization’s email JOSEPHGRZELAKMEMORIALFUND@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/19/18
Organization Incorporation State CT
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: 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 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 MATTHEW WHITMORE
Signature Title PRESIDENT
Signature Date 7/26/18
EIN 83-1010089
Case Number EO-2018211-000201
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JOSEPH GRZELAK MEMORIAL FOUNDATION INC
Organization’s Mailing Address 47 LAWLER LANE
City NORWICH
State CT
ZIP 6360
Accounting period End 6
Primary contact name MATTHEW WHITMORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATTHEW WHITMORE
PRESIDENT
47 LAWLER LANE
NORWICH CT 6360

Officer/Director/Trustee Two

BRENDAN FONTAINE
TREASURER
11 BLAIS RD
UNCASVILLE CT 6382

Officer/Director/Trustee Three

LAUREN WHITMORE
SECRETARY
47 LAWLER LANE
NORWICH CT 6360

Officer/Director/Trustee Four

ANASTASIOS BUNDY
DIRECTOR
115 COTTONWOOD LANE
UNCASVILLE CT 6382

Officer/Director/Trustee Five

ANN GRZELAK
DIRECTOR
70 JENNIFER LANE
GRISWOLD CT 6351

Organization’s website
Organization’s email JOSEPHGRZELAKMEMORIALFUND@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/19/18
Organization Incorporation State CT
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: 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 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 MATTHEW WHITMORE
Signature Title PRESIDENT
Signature Date 7/26/18

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