FORM 1023-EZ for KEVIN GRAY MEMORIAL FOUNDATION INC

Field Data
EIN 46-3033085
Case Number EO-2016279-000175
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KEVIN GRAY MEMORIAL FOUNDATION INC
Organization’s Mailing Address 21 KINGLET DRIVE SOUTH
City CRANBURY
State NJ
ZIP 08512
Accounting period End 10
Primary contact name JAMIE R WISSER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMIE WISSER
DIRECTOR,TREASURER
21 KINGLET DRIVE SOUTH
CRANBURY NJ 08512

Officer/Director/Trustee Two

PETER BYRNE
DIRECTOR, SECRETARY
23848 AETNA STREET
WOODLAND HILLS CA 91367

Officer/Director/Trustee Three

CHARLES RANDOLPH WRIGHT
DIRECTOR, CHAIRMAN
475 PARK AVENUE SOUTH UNIT 920
NEW YORK NY 10016

Officer/Director/Trustee Four

DODIE PETITT
EXECUTIVE DIRECTOR, PRESIDENT
24 MEEKER ROAD
WESTPORT CT 06880

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/5/2013
Organization Incorporation State DE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - Fund Raising and/or Fund Distribution
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date
EIN 46-3033085
Case Number EO-2014350-000201
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KEVIN GRAY MEMORIAL FOUNDATION INC
Organization’s Mailing Address 21 KINGLET DRIVE SOUTH
City CRANBURY
State NJ
ZIP 08512
Accounting period End 10
Primary contact name JAMIE WISSER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHARLES RANDOLPH-WRIGHT
DIRECTOR, CHAIRMAN
475 PARK AVENUE SOUTH - 920
NEW YORK NY 10016

Officer/Director/Trustee Two

JAMIE WISSER
DIRECTOR, TREASURER
21 KINGLET DRIVE SOUTH
CRANBURY NJ 08512

Officer/Director/Trustee Three

PETER BYRNE
DIRECTOR, SECRETARY
PO BOX 3452
WALNUT CREEK CA 94598

Officer/Director/Trustee Four

DODIE PETIT GRAY
EXECUTIVE DIRECTOR, PRESIDENT
24 MEEKER ROAD
WESTPORT CT 06880

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/5/2013
Organization Incorporation State DE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - Fund Raising and/or Fund Distribution
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
Signature Title
Signature Date

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