FORM 1023-EZ for ATRION CHARITABLE FOUNDATION

Field Data
EIN 84-2810826
Case Number EO-2019238-000334
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ATRION CHARITABLE FOUNDATION
Organization’s Mailing Address 185-I INDUSTRIAL PKWY
City BRANCHBURG
State NJ
ZIP 8876-3484
Accounting period End 12
Primary contact name PAT GRILLO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAT GRILLO
TRUSTEE
309 JEFFREY LANE
GLEN GARDNER NJ 8826

Officer/Director/Trustee Two

DOMINIC GRILLO
TRUSTEE
12 DREAHOOK RD
WHITEHOUSE STATION NJ 8889

Officer/Director/Trustee Three

NICOLE STAGG
TRUSTEE
240 ASBURY ANDERSON RD
ASBURY NJ 8802-1040

Organization’s website
Organization’s email PGRILLO@ATRIONCOMM.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/22/19
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - 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 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 PAT GRILLO
Signature Title TRUSTEE
Signature Date 8/22/19

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