FORM 1023-EZ for COAST GUARD SPOUSES ASSOCIATION OFMENEMSHA

Field Data
EIN 83-3208569
Case Number EO-2019268-000215
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COAST GUARD SPOUSES ASSOCIATION OFMENEMSHA
Organization’s Mailing Address 20 EDYS ISLAND WAY
City CHILMARK
State MA
ZIP 2535
Accounting period End 12
Primary contact name FATINE OTHMANE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FATINE OTHMANE
PRESIDENT
12 FOREST AVENUE
VINEYARD HAVEN MA 2568

Officer/Director/Trustee Two

CARISSA SMITH
TRESURER
150 FAIRFIELD AVE
VINEYARD HAVEN MA 2568

Officer/Director/Trustee Three

JUNE MANNING
COMUNITY LIAISON
152 LIGHTHOUSE ROAD
AQUINNAH MA 2535

Officer/Director/Trustee Four

NA NA
NA
NA
NA MA 2568

Officer/Director/Trustee Five

NA NA
NA
NA
NA MA 2568

Organization’s website N/A
Organization’s email CGSAMENEMSHA@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/8/19
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
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 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 FATINE OTHMANE
Signature Title PRESIDENT
Signature Date 9/23/19
EIN 83-3208569
Case Number EO-2019268-000215
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COAST GUARD SPOUSES ASSOCIATION OF MENEMSHA
Organization’s Mailing Address 20 EDYS ISLAND WAY
City CHILMARK
State MA
ZIP 2535
Accounting period End 12
Primary contact name FATINE OTHMANE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FATINE OTHMANE
PRESIDENT
12 FOREST AVENUE
VINEYARD HAVEN MA 2568

Officer/Director/Trustee Two

CARISSA SMITH
TRESURER
150 FAIRFIELD AVE
VINEYARD HAVEN MA 2568

Officer/Director/Trustee Three

JUNE MANNING
COMUNITY LIAISON
152 LIGHTHOUSE ROAD
AQUINNAH MA 2535

Officer/Director/Trustee Four

NA NA
NA
NA
NA MA 2568

Officer/Director/Trustee Five

NA NA
NA
NA
NA MA 2568

Organization’s website N/A
Organization’s email CGSAMENEMSHA@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/8/19
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
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 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 FATINE OTHMANE
Signature Title PRESIDENT
Signature Date 9/23/19

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