FORM 1023-EZ for CSJ MEMORIAL FUND

Field Data
EIN 47-2631949
Case Number EO-2014365-000056
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CSJ MEMORIAL FUND
Organization’s Mailing Address 86 FOREST ROAD
City VALLEY STREAM
State NY
ZIP 11413
Accounting period End 12
Primary contact name CLIFFORD S JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CLIFFORD JONES III
PRESIDENT
86 FOREST ROAD
VALLEY STREAM NY 11581

Officer/Director/Trustee Two

RITA JONES
VICE PRESIDENT
86 FOREST ROAD
VALLEY STREAM NY 11581

Officer/Director/Trustee Three

CARYN JONES
SECRETARY
195-02 122ND AV
SPRINGFIELD NY 11413

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/25/2014
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - 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 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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