FORM 1023-EZ for LOGAN MURPHY MENGOLD FOUNDATION

Field Data
EIN 86-1700606
Case Number EO-2021256-000174
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LOGAN MURPHY MENGOLD FOUNDATION
Organization’s Mailing Address PO BOX 162
City SOUTHBURY
State CT
ZIP 06488
Accounting period End 12
Primary contact name KRISTEN MENGOLD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KRISTEN MENGOLD
PRESIDENT
511 OLD WATERBURY ROAD
SOUTHBURY CT 06488

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/27/2021
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O12 - 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 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 KRISTEN MENGOLD
Signature Title PRESIDENT
Signature Date 9/9/2021

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