FORM 1023-EZ for THE RODRIGUEZ-SARIEGO FAMILY MEMORIAL FOUNDATION

Field Data
EIN 81-3502005
Case Number EO-2016224-000513
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE RODRIGUEZ-SARIEGO FAMILY MEMORIAL FOUNDATION
Organization’s Mailing Address 106 CRYSTAL RD
City PITTSGROVE
State NJ
ZIP 08318-4115
Accounting period End 12
Primary contact name CARMEN E RODRIGUEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARMEN RODRIGUEZ
CO-DIRECTOR
106 CRYSTAL RD
PITTSGROVE NJ 08318-4115

Officer/Director/Trustee Two

ELIZABETH RODRIGUEZ
CO-DIRECTOR
246 W ATLANTIC AVE APT 1
AUDUBON NJ 08106

Officer/Director/Trustee Three

LISA RODRIGUEZ-JACOBS
BOARD MEMBER
510 WESTMINSTER AVE
HADDONFIELD NJ 08033

Officer/Director/Trustee Four

ALBERT RODRIGUEZ JR
BOARD MEMBER
PO BOX 95
WOODSTOWN NJ 08098

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/9/2016
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U50 - Biological, Life Science Research
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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