FORM 1023-EZ for LAURIE MELCHIONDA FOUNDATION INC

Field Data
EIN 85-4184999
Case Number EO-2021099-001471
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAURIE MELCHIONDA FOUNDATION INC
Organization’s Mailing Address 60 QUEQUECHAN CIR
City RAYNHAM
State MA
ZIP 02767-1517
Accounting period End 12
Primary contact name JULIANA MELCHIONDA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JULIANA MELCHIONDA
PRESIDENT
1074 WASHINGTON STREET APT 1
BRAINTREE MA 02184

Officer/Director/Trustee Two

ANTHONY MELCHIONDA
TREASURER
66 PIERCE AVE
DORCHESTER MA 02122

Officer/Director/Trustee Three

ROBERT MELCHIONDA
CLERK
16 STEVENS AVE
BRAINTREE MA 02184

Officer/Director/Trustee Four

MARY-LOU MUSTO
DIRECTOR
60 QUEQUECHAN CIR
RAYNHAM MA 02767

Officer/Director/Trustee Five

KARALYN CLANCY
DIRECTOR
1093 WASHINGTON STREET
BRAINTREE MA 02184

Organization’s website
Organization’s email m454musto@gmail.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/18/2021
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 JULIANA MELCHIONDA
Signature Title PRESIDENT
Signature Date 3/20/2021

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