FORM 1023-EZ for PLOMARITIS FAMILY FOUNDAION

Field Data
EIN 46-1151987
Case Number EO-2014251-000507
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PLOMARITIS FAMILY FOUNDAION
Organization’s Mailing Address 94 SKYVIEW DRIVE
City PELHAM
State NH
ZIP 03076
Accounting period End 12
Primary contact name ELIZABETH M LORSBACH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TITUS PLOMARITIS SR
PRESIDENT
94 SKYVIEW DRIVE
PELHAM NH 03076

Officer/Director/Trustee Two

PAUL SURPRENANT
TREASURER
147 FOREST HILL WAY
MANCHESTER NH 03109

Officer/Director/Trustee Three

ANGELA HARTLEY
VOTING MEMBER
6 PLYMOUTH HEIGHTS RD BOX 616
SAGAMORE BEACH MA 02562

Officer/Director/Trustee Four

LYN PLOMARITIS
VOTING MEMBER
P O BOX 1065
DELTA JUNCTION AK 99737

Officer/Director/Trustee Five

TITUS PLOMARITIS JR
VOTING MEMBER
2003 ROAD 150
LAKIN KS 67860

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/29/2012
Organization Incorporation State NH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 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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