FORM 1023-EZ for GAVIN BRINK MEMORIAL FUND

Field Data
EIN 83-2881991
Case Number EO-2019038-000847
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GAVIN BRINK MEMORIAL FUND
Organization’s Mailing Address 29885 OAK MEADOW DRIVE
City KINGSTON
State IL
ZIP 60145
Accounting period End 12
Primary contact name MARCIA BRINK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIELLE BRINK
OFFICER
1763 BROOKWOOD DRIVE
DOWNERS GROVE IL 60516

Officer/Director/Trustee Two

MARCIA BRINK
OFFICER
29885 OAK MEADOW DRIVE
KINGSTON IL 60145

Officer/Director/Trustee Three

KASEY SAEED
OFFICER
2 WATER STREET 6C
NEW YORK CITY NY 10004

Officer/Director/Trustee Four

SAAD SAEED
OFFICER
2 WATER STREET 6C
NEW YORK CITY NY 10004

Officer/Director/Trustee Five

ROGER BRINK
OFFICER
29885 OAK MEADOW DRIVE
KINGSTON IL 60145

Organization’s website
Organization’s email BRINKMPGK@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/19/18
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
Organization’s purpose Charitable: No
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 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 DANIELLE BRINK
Signature Title OFFICER
Signature Date 2/3/19

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