FORM 1023-EZ for THEODORE S GRABOSKI MEMORIAL SCHOLARSHIP FUND INC

Field Data
EIN 47-2140213
Case Number EO-2014297-000618
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THEODORE S GRABOSKI MEMORIAL SCHOLARSHIP FUND INC
Organization’s Mailing Address 13165 ELLISON WILSON ROAD
City JUNO BEACH
State FL
ZIP 33408
Accounting period End 6
Primary contact name JENNIFER G WILSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DIANE DECAPRIO
PRESIDENT
1245 ADAMS STREET B609
DORCHESTER MA 02124

Officer/Director/Trustee Two

CAROL COLES
VICE PRESIDENT
118 EASTERLY ROAD
NORTH PALM BEACH FL 33408

Officer/Director/Trustee Three

NATALIE GRABOSKI
SECRETARY
88 LUMBER LANE
BRIDGEHAMPTON NY 11932

Officer/Director/Trustee Four

JENNIFER WILSON
TREASURER
13165 ELLISON WILSON ROAD
JUNO BEACH FL 33408

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/22/2014
Organization Incorporation State FL
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 Yes
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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