FORM 1023-EZ for NEEDHAM DIVERSITY INITIATIVE INC

Field Data
EIN 36-4818585
Case Number EO-2015286-000260
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NEEDHAM DIVERSITY INITIATIVE INC
Organization’s Mailing Address 62 GREEN STREET
City NEEDHAM
State MA
ZIP 02492
Accounting period End 12
Primary contact name MELISSA LABARGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVID SUMMERGRAD
PRESIDENT, CLERK, DIRECTOR
62 GREEN STREET
NEEDHAM MA 02492

Officer/Director/Trustee Two

RAMIN ABRISHAMIAN
TREASURER, DIRECTOR
534 CHARLES RIVER ST
NEEDHAM MA 02492

Officer/Director/Trustee Three

REBECCA DRILL
VICE PRESIDENT, DIRECTOR
108 LOCUST LANE
NEEDHAM MA 02492

Officer/Director/Trustee Four

MELISSA LABARGE
ASSISTANT CLERK, DIRECTOR
140 PARISH ROAD
NEEDHAM MA 02494

Officer/Director/Trustee Five

JEREMY SUTHERLAND
DIRECTOR
36 MORNINGSIDE RD
NEEDHAM MA 02492

Organization’s website WWW.NEEDHAMDIVERSITY.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/17/2015
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
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 Yes
One Third Support Gifts No
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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