FORM 1023-EZ for C11 MEMEMORIAL FUND

Field Data
EIN 86-2652728
Case Number EO-2021097-001474
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name C11 MEMEMORIAL FUND
Organization’s Mailing Address 40 GIBSON STREET
City DORCHESTER
State MA
ZIP 02122
Accounting period End 12
Primary contact name JEAN DUMEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES DOIRON
PRESIDENT
105 MONROE STREET
PEMBROKE MA 02359

Officer/Director/Trustee Two

CAROLE COLLINS
VICE-PRESIDENT
131 MILTON AVE
HYDE PARK MA 02136

Officer/Director/Trustee Three

AYESHA LAWTON
SECRETARY
53 LEIGHTON ROAD
HYDE PARK MA 02136

Officer/Director/Trustee Four

JAMES HOSEA
TREASURER
11 FLAVIA STREET
DORCHESTER MA 02122

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2021
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JAMES DOIRON
Signature Title PRESIDENT
Signature Date 3/16/2021

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