FORM 1023-EZ for GIRL FROM THE GROTTO

Field Data
EIN 81-1804455
Case Number EO-2016190-000704
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GIRL FROM THE GROTTO
Organization’s Mailing Address 1810 FAIRFIELD BEACH ROAD
City FAIRFIELD
State CT
ZIP 06824
Accounting period End 3
Primary contact name JILL WALKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHLOE WALKER
VICE PRESIDENT
364 RIVERWAY APT 3
BOSTON MA 02115

Officer/Director/Trustee Two

JILL WALKER
PRESIDENT
1810 FAIRFIELD BEACH ROAD
FAIRFIELD CT 06824

Officer/Director/Trustee Three

DEBRA ETRIO
SECRETARY/TREASURER
1200 N 62ND STREET APT 217
WAUWATOSA WI 53213

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/9/2016
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E86 - Patient Services - Entertainment, Recreation
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
Signature Title
Signature Date

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