FORM 1023-EZ for MORITSUGU FAMILY FOUNDATION INC

Field Data
EIN 82-3940267
Case Number EO-2018016-000209
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MORITSUGU FAMILY FOUNDATION INC
Organization’s Mailing Address 631 US HWY 1 STE 411
City NORTH PALM BEACH
State FL
ZIP 33408
Accounting period End 12
Primary contact name KRISTINE C POLO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KENNETH MORITSUGU
PRESIDENT
9561 BELL DRIVE
GREAT FALLS VA 22066

Officer/Director/Trustee Two

LISA KORY
TREASURER
9561 BELL DRIVE
GREAT FALLS VA 22066

Officer/Director/Trustee Three

KRISTINE POLO
SECRETARY
631 US HWY 1 STE 411
NORTH PALM BEACH FL 33408

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T22 - Private Independent Foundations
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 KRISTINE POLO
Signature Title SECRETARY
Signature Date 1/11/18

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