FORM 1023-EZ for THE MICHAEL T SKRIDULIS MEMORIAL SCHOLARSHIP FUND INC

Field Data
EIN 82-2772382
Case Number EO-2017328-000429
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE MICHAEL T SKRIDULIS MEMORIAL SCHOLARSHIP FUND INC
Organization’s Mailing Address 51 TANYA COURT
City PLANTSVILLE
State CT
ZIP 06479-1830
Accounting period End 12
Primary contact name PETER GOMEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PETER GOMEZ
DIRECTOR/COO
17 JOHANNA CIRCLE
SOUTHINGTON CT 06489-1223

Officer/Director/Trustee Two

RITA FASCI
DIRECTOR/COO
281 WILLIS ST
BRISTOL CT 06010-7223

Officer/Director/Trustee Three

JEFFREY SHONECK
DIRECTOR/CEO
51 TANYA COURT
PLANTSVILLE CT 06479-1830

Officer/Director/Trustee Four

JOE SKRIDULIS
DIRECTOR/COO
274 PEARL LAKE RD
WATERBURY CT 06706-2526

Officer/Director/Trustee Five

MICHAEL FASCI
TREASURER
281 WILLIS ST
BRISTOL CT 06010-7223

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/11/2017
Organization Incorporation State CT
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: 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 Yes
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
Signature Title
Signature Date

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