FORM 1023-EZ for ALEX PICHETTE MEMORIAL FOUNDATION

Field Data
EIN 81-5283414
Case Number EO-2021049-000074
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ALEX PICHETTE MEMORIAL FOUNDATION
Organization’s Mailing Address 255 SOUTH MEADOW DRIVE
City NORTH TONAWANDA
State NY
ZIP 14120
Accounting period End 12
Primary contact name MARY PICHETTE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY PICHETTE
CHAIRMAN
255 SOUTH MEADOW DRIVE
NORTH TONAWANDA NY 14120

Officer/Director/Trustee Two

LUCAS PICHETTE
PRESIDENT
272 CRESTWOOD AVENUE
BUFFALO NY 14216

Officer/Director/Trustee Three

TIFFANY PICHETTE
OFFICER
255 SOUTH MEADOW DRIVE
NORTH TONAWANDA NY 14120

Officer/Director/Trustee Four

SANDRA GUADAGNA
OFFICER
63 GROVELAND STREET
BUFFALO NY 14214

Officer/Director/Trustee Five

ERIC FETTERMAN
OFFICER
29 WASHINGTON STREET
KENMORE NY 14217

Organization’s website NA
Organization’s email MPICHETTE12@YAHOO.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/21/2016
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O11 - Single Organization Support
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 No
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 MARY PICHETTE
Signature Title CHAIRMAN
Signature Date 12/18/2020

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