FORM 1023-EZ for NATHANIEL B FIELD MEMORIAL FOUNDATION INC

Field Data
EIN 47-5412312
Case Number EO-2015313-000360
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NATHANIEL B FIELD MEMORIAL FOUNDATION INC
Organization’s Mailing Address 32 OLD COUNTY ROAD EAST
City HADDAM
State CT
ZIP 06438
Accounting period End 12
Primary contact name HOWARD FIELD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HOWARD FIELD
DIRECTOR
32 OLD COUNTY ROAD EAST
HADDAM CT 06438

Officer/Director/Trustee Two

MARIE FIELD
DIRECTOR
32 OLD COUNTY ROAD EAST
HADDAM CT 06438

Officer/Director/Trustee Three

CECILE HAASE
DIRECTOR
144 PARKER HILL ROAD
KILLINGWORTH CT 06419

Officer/Director/Trustee Four

RUSSELL ARRIGONI
DIRECTOR
160 FRONT STREET
MIDDLETOWN CT 06457

Officer/Director/Trustee Five

GARY GINTER
DIRECTOR
38 LONG HILL ROAD
MIDDLEFIELD CT 06455

Organization’s website NA
Organization’s email HOWARDFIELD@COMCAST.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/28/2015
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F70 - Mental Health Disorders
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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