FORM 1023-EZ for THE CONNIE RUSSO FOUNDATION INC

Field Data
EIN 82-1733684
Case Number EO-2017205-000296
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE CONNIE RUSSO FOUNDATION INC
Organization’s Mailing Address 18 WOOD GLEN DRIVE
City MAHOPAC
State NY
ZIP 10541
Accounting period End 12
Primary contact name THEODORE GRANATA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THEODORE GRANATA
BOARD MEMBER
27 MORGAN PLACE
WHITE PLAINS NY 10605

Officer/Director/Trustee Two

RICCARDINA RUSSO
BOARD MEMBER
18 WOOD GLEN DRIVE
MAHOPAC NY 10541

Officer/Director/Trustee Three

MICHAEL RUSSO
BOARD MEMBER
41 ARBOR LANE
BARDONIA NY 10954

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/10/2017
Organization Incorporation State NY
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 Yes
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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