FORM 1023-EZ for NICHOLAS BARTZOKIS MEMORIAL SCHOLARSHIP FUND INC

Field Data
EIN 82-1510764
Case Number EO-2018141-000659
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NICHOLAS BARTZOKIS MEMORIAL SCHOLARSHIP FUND INC
Organization’s Mailing Address 42 LAWRENCE DRIVE
City FRANKLIN
State MA
ZIP 2038
Accounting period End 12
Primary contact name PAUL PICCIRILLI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAUL PICCIRILLI
PRESIDENT
44 LAWRENCE DRIVE
FRANKLIN MA 2038

Officer/Director/Trustee Two

EARL MARTIN
TREASURER
46 LAWRENCE DRIVE
FRANKLIN MA 2038

Officer/Director/Trustee Three

DIANE MARTIN
SECRETARY
46 LAWRENCE DRIVE
FRANKLIN MA 2038

Officer/Director/Trustee Four

KRISTINE BARTZOKIS
DIRECTOR
42 LAWRENCE DRIVE
FRANKLIN MA 2038

Officer/Director/Trustee Five

STEPHEN BARTZOKIS
DIRECTOR
105 GROVERS AVENUE APT 1
WINTHROP MA 2152

Organization’s website N/A
Organization’s email KBARTZOKIS@ICLOUD.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/24/17
Organization Incorporation State MA
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 PAUL PICCIRILLI
Signature Title PRESIDENT
Signature Date 5/19/18

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