FORM 1023-EZ for THE MATT ALSFELD MEMORIAL FUND INC

Field Data
EIN 83-2794712
Case Number EO-2019031-000240
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE MATT ALSFELD MEMORIAL FUND INC
Organization’s Mailing Address 11 HURRY HILL ROAD
City PUTNAM
State CT
ZIP 6260
Accounting period End 12
Primary contact name REBECCA S ADAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REBECCA ADAMS
PRESIDENT
11 HURRY HILL ROAD
PUTNAM CT 6260

Officer/Director/Trustee Two

GAIL SEIFERMAN
TREASURER/DIRECTOR
1023 NORTH ROAD
DAYVILLE CT 6241

Officer/Director/Trustee Three

WILLIAM ALSFELD
SECRETARY/DIRECTOR
117 GOLD MINE ROAD
FOSTER RI 2825

Officer/Director/Trustee Four

REBECCA ADAMS
DIRECTOR
11 HURRY HILL ROAD
PUTNAM CT 6260

Officer/Director/Trustee Five

NOT APPLICABLE
NOT APPLICABLE
NOT APPLICABLE
NOT APPLICABLE CT 0

Organization’s website
Organization’s email THEMATTALSFELDMEMORIALFUND@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/28/18
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name REBECCA ADAMS
Signature Title DIRECTOR
Signature Date 1/1/19

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