FORM 1023-EZ for THE GEOFF HIGGINBOTHAM MEMORIAL FOUNDATION

Field Data
EIN 84-1890580
Case Number EO-2019151-000213
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE GEOFF HIGGINBOTHAM MEMORIAL FOUNDATION
Organization’s Mailing Address 135 MANCHESTER STREET
City NASHUA
State NH
ZIP 3064
Accounting period End 12
Primary contact name RYAN CALLAHAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RYAN CALLAHAN
PRESIDENT/TREASURER
135 MANCHESTER ST
NASHUA NH 3064

Officer/Director/Trustee Two

BRIAN ANTONIO
VICE PRESIDENT
276 WARREN ST
NEEDHAM MA 2492

Officer/Director/Trustee Three

MICHAEL WHELIHAN
SECRETARY
6 APPLEBY STREET
NEWPORT RI 2840

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/21/19
Organization Incorporation State RI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
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 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 RYAN CALLAHAN
Signature Title PRESIDENT/TREASURER
Signature Date 5/29/19

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