FORM 1023-EZ for ELISE D DRISCOLL MEMORIAL FOUNDATION

Field Data
EIN 81-2831578
Case Number EO-2017107-000263
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ELISE D DRISCOLL MEMORIAL FOUNDATION
Organization’s Mailing Address C/O EPPLO 15 UNION STREET
City MILFORD
State NH
ZIP 03055-4875
Accounting period End 12
Primary contact name DONALD H SIENKIEWICZ ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JONATHAN DRISCOLL
TREASURER
250 BONDS CORNER ROAD
HARRISVILLE NH 03450-5111

Officer/Director/Trustee Two

ZACHARY STITHAM
PRESIDENT
28 SPALDING DRIVE
WILTON NH 03086-5903

Officer/Director/Trustee Three

MICHAEL COX
DIRECTOR
3 LEE ANN DRIVE
MILFORD NH 03055-4157

Officer/Director/Trustee Four

MATTHEW BRADBURY
DIRECTOR
153 OLD ASHBURNHAM ROAD
RINDGE NH 03461-6064

Officer/Director/Trustee Five

JEFFREY DENIS
DIRECTOR
362 WEST HILL ROAD
TROY NH 03465-2614

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/3/2016
Organization Incorporation State NH
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 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
Signature Title
Signature Date

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