FORM 1023-EZ for NICHOLAS VINCENT DANGELO MEMORIAL FOUNDATION FOR NEONATAL RESEARCH

Field Data
EIN 46-3234414
Case Number EO-2014330-000242
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NICHOLAS VINCENT DANGELO MEMORIAL FOUNDATION FOR NEONATAL RESEARCH
Organization’s Mailing Address 89 CLEARMONT AVENUE
City STATEN ISLAND
State NY
ZIP 10309
Accounting period End 12
Primary contact name NICHOLAS DANGELO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KRISTINA DANGELO
DIRECTOR
89 CLEARMONT AVENUE
STATEN ISLAND NY 10309

Officer/Director/Trustee Two

LAUREN KUCZINSKI
DIRECTOR
472 BARLOW AVENUE
STATEN ISLAND NY 10308

Officer/Director/Trustee Three

SALLY DANGELO
DIRECTOR
69 HALLISTER STREET
STATEN ISLAND NY 10309

Officer/Director/Trustee Four

NICHOLAS DANGELO
DIRECTOR
69 HALLISTER STREET
STATEN ISLAND NY 10309

Officer/Director/Trustee Five

WILLIAM DANGELO
DIRECTOR
89 CLEARMONT AVENUE
STATEN ISLAND NY 10309

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/26/2013
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G20 - Birth Defects and Genetic Diseases
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 Yes
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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