FORM 1023-EZ for CROSSROADS VENTURES INC

Field Data
EIN 46-5568891
Case Number EO-2015037-000104
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CROSSROADS VENTURES INC
Organization’s Mailing Address 87 SOUTHERN AVE
City DORCHESTER
State MA
ZIP 02124-3423
Accounting period End 12
Primary contact name RACHELE GARDNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RACHELE GARDNER
PRESIDENT/ EXECUTIVE DIRECTOR
87 SOUTHERN AVE
DORCHESTER MA 02124-3423

Officer/Director/Trustee Two

DUSTIN GARDNER
CLERK
87 SOUTHERN AVE
DORCHESTE MA 02124-3423

Officer/Director/Trustee Three

MARY TILLER
TREASURER
129 OLD POINT ROAD
NEWBURYPORT MA 01950-4155

Organization’s website
Organization’s email RACHELEJ.GARDNER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/10/2014
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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 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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