FORM 1023-EZ for THE JOHN E TAVERA MEMORIAL FUND

Field Data
EIN 37-1927028
Case Number EO-2019238-000320
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE JOHN E TAVERA MEMORIAL FUND
Organization’s Mailing Address 5 TUTTLE STREET
City BRISTOL
State CT
ZIP 6010
Accounting period End 6
Primary contact name STU CLARK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GIUSEPPE TAVERA
DIRECTOR
5 TU
BRISTOL CT 6010

Officer/Director/Trustee Two

ROBERT MCFADDEN
DIRECTOR
14 HILLSIDE DR
BRISTOL CT 6010

Officer/Director/Trustee Three

FRANK TAVERA
DIRECTOR
104 LARKSPUR LANE
KENSINGTON CT 6037

Officer/Director/Trustee Four

TAYLOR TACINELLI
DIRECTOR
705 LAKE AVE UNIT 24
BRISTOL CT 6010

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/10
Organization Incorporation State CT
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 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 GIUSEPPE TAVERA
Signature Title DIRECTOR
Signature Date 8/22/19

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