FORM 1023-EZ for GARY CICCONE FOUNDATION INC

Field Data
EIN 83-4684672
Case Number EO-2019135-000269
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GARY CICCONE FOUNDATION INC
Organization’s Mailing Address 15 EAST BYWAY
City GREENWICH
State CT
ZIP 6831-3618
Accounting period End 12
Primary contact name JAMES MALCHOW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES MALCHOW
PRESIDENT
15 EAST BYWAY
GREENWICH CT 6831-3618

Officer/Director/Trustee Two

MICHAEL DECARLO
VICE PRESIDENT
12 HALOCK DRIVE
GREENWICH CT 6831

Officer/Director/Trustee Three

RONALD YOUNG
SECRETARY
27 EAST BYWAY
GREEWICH CT 6831

Officer/Director/Trustee Four

ROBERT LANNI
DIRECTOR
124 BOWMAN DRIVE NORTH
GREENWICH CT 6831

Officer/Director/Trustee Five

BRIAN CICCONE
DIRECTOR
123 BOWMAN DRIVE NORTH
GREENWICH CT 6831

Organization’s website HTTPS://WWW.GARYCFOUNDATION.COM/
Organization’s email GARYCFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/19
Organization Incorporation State CT
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 JAMES MALCHOW
Signature Title PRESIDENT
Signature Date 5/13/19

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