FORM 1023-EZ for 10 19 FOUNDATION INC

Field Data
EIN 81-4975769
Case Number EO-2017230-000148
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name 10 19 FOUNDATION INC
Organization’s Mailing Address 60 MCKENNA RIDGE ROAD
City EAST FALMOUTH
State MA
ZIP 02536
Accounting period End 12
Primary contact name PAUL P MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MAUREEN O REILLY
PRESIDENT DIRECTOR
92 BRIDGE ST
EAST FALMOUTH MA 02536

Officer/Director/Trustee Two

PAUL MOORE
TREASURER DIRECTOR
60 MCKENNA RIDGE RD
EAST FALMOUTH MA 02536

Officer/Director/Trustee Three

SHEILA LAVIN
CLERK DIRECTOR
15 POTTER DR
EAST FALMOUTH MA 02536

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/13/2017
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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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