FORM 1023-EZ for LEA FITZ MEMORIAL FUND

Field Data
EIN 82-5471466
Case Number EO-2018207-000219
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LEA FITZ MEMORIAL FUND
Organization’s Mailing Address 202 W BROAD ST
City BERLIN
State NJ
ZIP 8009-1440
Accounting period End 12
Primary contact name KRISTA MIKOLAJCZEWSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KRISTA MIKOLAJCZEWSKI
CO-PRESIDENT
202 W BROAD ST
BERLIN NJ 8009-1440

Officer/Director/Trustee Two

THOMAS FITZPATRICK
CO-PRESIDENT
11 THOMAS AVE
BERLIN NJ 8009-2114

Officer/Director/Trustee Three

KATHRYN FITZPATRICK
CO-PRESIDENT
508 EAGLEBROOK DRIVE
MOORESTOWN NJ 8057-2106

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/6/18
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - 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 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 KRISTA MIKOLAJCZEWSKI
Signature Title CO-PRESIDENT
Signature Date 7/24/18

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