FORM 1023-EZ for CENTER FOR CULTURAL RESPONSIVENESS

Field Data
EIN 84-4056782
Case Number EO-2020188-000306
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CENTER FOR CULTURAL RESPONSIVENESS
Organization’s Mailing Address 47 OLEAN STREET
City WORCESTER
State MA
ZIP 01602
Accounting period End 12
Primary contact name ANNETTE WHITEHEAD-PLEAUX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANNETTE WHITEHEAD-PLEAUX
PRESIDENT/CEO
47 OLEAN STREET
WORCESTER MA 01602

Officer/Director/Trustee Two

AMY WHITEHEAD-PLEAUX
BOARD CHAIR
47 OLEAN STREET
WORCESTER MA 01602

Officer/Director/Trustee Three

MARLEN RODRIGUEZ-WOLFE
BOARD VICE CHAIR
47 OLEAN STREET
WORCESTER MA 01602

Officer/Director/Trustee Four

KIM DAWKINS
BOARD TREASURER
11 KENSINGTON ROAD
WORCESTER MA 01602

Officer/Director/Trustee Five

XUELI TAN
BOARD CLERK
47 OLEAN STREET
WORCESTER MA 01602

Organization’s website HTTP://MTFUNCTIONAL.WIXSITE.COM/CFCR
Organization’s email MTBCAWP@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/22/2020
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
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 ANNETTE WHITEHEAD-PLEAUX
Signature Title PRESIDENT/CEO
Signature Date 7/1/2020

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