FORM 1023-EZ for PORTSMOUTH YOUTH DEVELOPMENT ASSOCIATION

Field Data
EIN 26-1265928
Case Number EO-2015322-000336
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PORTSMOUTH YOUTH DEVELOPMENT ASSOCIATION
Organization’s Mailing Address 69 HEDLEY ST
City PORTSMOUTH
State RI
ZIP 02871
Accounting period End 8
Primary contact name PHILIP N LAFOUNTAIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TIMOTHY JOHNSON
PRESIDENT
26 CAPRON ST
UXBRIDGE MA 01569

Officer/Director/Trustee Two

PHILIP LAFOUNTAIN JR
VICE-PRESIDENT
2 WHIPPLE ROAD
HAMILTON MA 01982

Officer/Director/Trustee Three

JENNIFER LAFOUNTAIN
TREASURER
2 WHIPPLE ROAD
HAMILTON MA 01982

Officer/Director/Trustee Four

RHODORA LAFOUNTAIN
SECRETARY
10 ROADWAY B
ATTLEBORO MA 02703

Officer/Director/Trustee Five

PHILIP LAFOUNTAIN
DIRECTOR
10 ROADWAY B
ATTLEBORO MA 02703

Organization’s website PYDA.ORG
Organization’s email LAFOUNTAINP@COMCAST.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/18/2007
Organization Incorporation State RI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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