FORM 1023-EZ for SENIOR CENTER FOUNDATION INC

Field Data
EIN 47-1468558
Case Number EO-2018085-000280
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SENIOR CENTER FOUNDATION INC
Organization’s Mailing Address 7 MAIN STREET
City SHELBURNE FALLS
State MA
ZIP 1370-9538
Accounting period End 6
Primary contact name MARION TAYLOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARION TAYLOR
PAST PRESIDENT
439 S SHELBURNE RD
SHELBUURNE MA 1370-9538

Officer/Director/Trustee Two

MARGARET PAYNE
PRESIDENT
409 BARDWELLS FERRY RD
SHELBURNE MA 1370

Officer/Director/Trustee Three

KAY BERENSON
VICE PRESIDENT
439 SOUTH SHELBURNE RD
SHELBURNE MA 1370

Officer/Director/Trustee Four

MICHAEL MCCUSKER
BOARD MEMBER
32 UPPER STREET
BUCKLAND MA 1338

Officer/Director/Trustee Five

DENA BRIGGS
BOARD MEMBER
1 CONWAY ROAD
BUCKLAND MA 1370

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/30/14
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P81 - Senior Centers, Services
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MARION TAYLOR
Signature Title PAST PRESIDENT
Signature Date 3/22/18
EIN 47-1468558
Case Number EO-2014260-000265
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SENIOR CENTER FOUNDATION
Organization’s Mailing Address 7 MAIN STREET
City SHELBURNE FALLS
State MA
ZIP 01370
Accounting period End 6
Primary contact name MARION TAYLOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARION TAYLOR
PRESIDENT
439 SOUTH SHELBURNE ROAD
SHELBURNE MA 01370

Officer/Director/Trustee Two

MARGARET PAYNE
VICE PRESIDENT
409 BARDWELLS FERRY ROAD
SHELBURNE MA 01370

Officer/Director/Trustee Three

MARY VILBON
SECRETARY
4 EAST BROOK DRIVE
HEATH MA 10346

Officer/Director/Trustee Four

LARRY BAIRD
TREASURER
5 CLESSON BROOK ROAD
BUCKLAND MA 01370

Officer/Director/Trustee Five

KAY BERENSON
BOARD MEMBER
3 TAYLOR ROAD
SHELBURNE MA 01370

Organization’s website
Organization’s email SCFSHELBURNEFALLSMA@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/22/2014
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P81 - Senior Centers, Services
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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