FORM 1023-EZ for SPEAK INC

Field Data
EIN 81-2365528
Case Number EO-2017017-000297
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SPEAK INC
Organization’s Mailing Address 8 COMMONS STREET
City RUTLAND
State VT
ZIP 05701
Accounting period End 6
Primary contact name JESSICA BULLOCK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JESSICA BULLOCK
EXECUTIVE DIRECTOR
4446 UPPER COLD RIVER ROAD
SHREWSBURY VT 05738

Officer/Director/Trustee Two

ALEXANDER DEAN
TREASURER
PO BOX 331
SOUTH ROYALTON VT 05068

Officer/Director/Trustee Three

BRUCE BULLOCK
SECRETARY
4446 UPPER COLD RIVER ROAD
SHREWSBURY VT 05738

Officer/Director/Trustee Four

GREG JOHNSON
BOARD MEMBER
164 CHELSEA STREET
SOUTH ROYALTON VT 05068

Officer/Director/Trustee Five

ROBERT SAND
BOARD MEMBER
164 CHELSEA STREET
SOUTH ROYALTON VT 05068

Organization’s website HTTP://SPEAKSOLUTIONS.WIXSITE.COM/SPEAK
Organization’s email SPEAKINC.SOLUTIONS@GMAIL.COM OR JESSICA.BULLOCK@MVHEALTHWORKS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/15/2016
Organization Incorporation State VT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 No
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
Signature Title
Signature Date

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