FORM 1023-EZ for POSITIVE NUTRITION INC

Field Data
EIN 47-5539237
Case Number EO-2016047-000111
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name POSITIVE NUTRITION INC
Organization’s Mailing Address 225 CEDAR HILL ST
City MARLBOROUGH
State MA
ZIP 01752
Accounting period End 12
Primary contact name ANGELLA CREECH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANGELLA CREECH
EXECUTIVE DIRECTOR
1008 AVALON DRIVE
NORTHBOROUGH MA 01532

Officer/Director/Trustee Two

DANDRE CREECH
HUMAN RESOURCE COORDINATOR
1008 AVALON DRIVE
NORTHBOROUGH MA 01532

Officer/Director/Trustee Three

PHIDRA ATURINDA
PROGRAM DIRECTOR
225 CEDAR HILL ST STE 200
MARLBOROUGH MA 01752

Officer/Director/Trustee Four

BEATRICE WERE
BOARD CHAIR PERSON
1 RICHMOND PARK
WOBURN MA 01801

Officer/Director/Trustee Five

SHAMSHA BUJUMBO
BOARD VICE
85 HOSMER ST
ACTON MA 01720

Organization’s website WWW.POSITIVE-NUTRITION.ORG
Organization’s email ADMIN@POSITIVE-NUTRITION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/11/2015
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - 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 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 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
Signature Title
Signature Date

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