FORM 1023-EZ for KIMBERLY GROSSI MEMORIAL FUND

Field Data
EIN 81-0910806
Case Number EO-2017131-000373
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KIMBERLY GROSSI MEMORIAL FUND
Organization’s Mailing Address 60 HAWTHORNE PLACE UNIT 10
City NORTH PROVIDENCE
State RI
ZIP 02904-7600
Accounting period End 12
Primary contact name JARAD T GROSSI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GARY T GROSSI
DIRECTOR
41 IVAN ST
NORTH PROVIDENCE RI 02904-7600

Officer/Director/Trustee Two

JEREMY D GROSSI
DIRECTOR
41 IVAN ST
NORTH PROVIDENCE RI 02904-7600

Officer/Director/Trustee Three

JARAD T GROSSI
DIRECTOR
60 HAWTHORNE PLACE UNIT 10
NORTH PROVIDENCE RI 02904-7600

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/20/2017
Organization Incorporation State RI
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: 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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