FORM 1023-EZ for MARK GERRETSON MEMORIAL CHARITABLEFUND INC

Field Data
EIN 47-3220353
Case Number EO-2015117-000341
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MARK GERRETSON MEMORIAL CHARITABLEFUND INC
Organization’s Mailing Address 455 NE 5TH AVE SUITE D170 DELRAY
City DELRAY BEACH
State FL
ZIP 33483-5658
Accounting period End 12
Primary contact name NOEL BOURQUE PRESIDENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NOEL BOURQUE
PRESIDENT
4663 LOTUS WAY
BOYNTON BEACH FL 33436-2932

Officer/Director/Trustee Two

PAT GERRETSON
SECRETARY
246 NE 10TH STREET
DELRAY BEACH FL 33444-4048

Officer/Director/Trustee Three

JENN BUCE
TREASURER
110 MARINE WAY
DELRAY BEACH FL 33483-5333

Organization’s website WWW.MGMFT.NET
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/27/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 Yes
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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