FORM 1023-EZ for ONSET BEACH JAZZ FESTIVAL INC

Field Data
EIN 47-3521331
Case Number EO-2015089-000246
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ONSET BEACH JAZZ FESTIVAL INC
Organization’s Mailing Address 302 ONSET AVE
City ONSET
State MA
ZIP 02558
Accounting period End 8
Primary contact name MIKELYN RODERICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JENNIFER PINA
PRESIDENT
75B WATERHOUSE RD
WEST WAREHAM MA 02576

Officer/Director/Trustee Two

DARRELL CORREIA
VICE PRESIDENT
14 BOG IRON RD
WEST WAREHAM MA 02576

Officer/Director/Trustee Three

DONNA DAVEIGA
SECRETARY
14 HONORA LANE
BUZZARDS BAY MA 02532

Officer/Director/Trustee Four

KELLEY CARDOZA WILLIAMS
TREASURER
629 MORTON ST
STOUGHTON MA 02072

Officer/Director/Trustee Five

MIKELYN RODERICK
DIRECTOR
302 ONSET AVE
ONSET MA 02558

Organization’s website ONSETBEACHJAZZFESTIVAL.ORG
Organization’s email ONSETBEACHJAZZFESTIVAL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/25/2015
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A6C - Music Groups, Bands, Ensembles
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
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 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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