FORM 1023-EZ for JAMES M FITZGERALD IV FOUNDATION CORPORATION

Field Data
EIN 84-2827058
Case Number EO-2020160-000128
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JAMES M FITZGERALD IV FOUNDATION CORPORATION
Organization’s Mailing Address 92 BARTHOLOMEW HILL RD
City GOSHEN
State CT
ZIP 06756
Accounting period End 12
Primary contact name JAMES M FITZGERALD 3RD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES M FITZGERALD 3RD
PRESIDENT
92 BARTHOLOMEW HILL RD
GOSHEN CT 06756

Officer/Director/Trustee Two

BETH M FITZGERALD
VICE PRESIDENT
92 BARTHOLOMEW HILL RD
GOSHEN CT 06756

Officer/Director/Trustee Three

TAYLOR FITZGERALD
TREASURE
92 BARTHOLOMEW HILL RD
GOSHEN CT 06756

Officer/Director/Trustee Four

WENDY THOMPSON
ASSISTANT TREASURE
119 BACON RD
ROXBURY CT 06783

Officer/Director/Trustee Five

JENNIFER MARTIN
SECRETARY
63 ENO AVE
TORRINGTON CT 06790

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/22/2019
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JAMES M FITZGERALD 3RD
Signature Title PRESIDENT
Signature Date 6/4/2020

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