FORM 1023-EZ for MICHAEL LORENZEN FOUNDATION INC
| Field | Data |
|---|---|
| EIN | 83-4298012 |
| Case Number | EO-2019270-000183 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | MICHAEL LORENZEN FOUNDATION INC |
| Organization’s Mailing Address | 21 PARTRIDGE DRIVE |
| City | EXETER |
| State | RI |
| ZIP | 2822 |
| Accounting period End | 12 |
| Primary contact name | KELLIE LORENZEN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
KELLIE LORENZEN
DIRECTOR
21 PARTRIDGE DRIVE
EXETER RI 2822
Officer/Director/Trustee Two
SARAH GAGNE
DIRECTOR
606 VICTORY HIGHWAY
W. GREENWICH RI 2817
Officer/Director/Trustee Three
ALEXANDRA CLARK
DIRECTOR
110 BIRCHWOOD DRIVE
WAKEFIELD RI 2879
Officer/Director/Trustee Four
TORI GANIMIAN
DIRECTOR
33 HORNBEAM ROAD
COVENTRY RI 2816
Officer/Director/Trustee Five
CHANDRA DUSSEAULT
DIRECTOR
58 ALLARD STREET
CRANSTON RI 2920
| Organization’s website | MICHAELLORENZENFOUNDATION.COM |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/21/19 |
| Organization Incorporation State | RI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | O12 - Fund Raising and/or Fund Distribution |
| Organization’s purpose | Charitable: Yes Religious: Yes Educational: Yes Scientific: Yes Literary: Yes 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 | KELLIE LORENZEN |
| Signature Title | DIRECTOR |
| Signature Date | 9/25/19 |
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