FORM 1023-EZ for SOUTHBORO HISTORICAL SOCIETY INC

Field Data
EIN 23-7131696
Case Number EO-2014358-000117
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTHBORO HISTORICAL SOCIETY INC
Organization’s Mailing Address PO BOX 364
City SOUTHBORO
State MA
ZIP 01772-0364
Accounting period End 4
Primary contact name JOHN WILSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVID FALCONI
PRESIDENT
28 WOODBURY ROAD
SOUTHBOROUGH MA 01772

Officer/Director/Trustee Two

MARK FOX
DIRECTOR
48 DEERFOOT ROAD
SOUTHBOROUGH MA 01772

Officer/Director/Trustee Three

NANCY FALCONI
DIRECTOR
34 OREGON ROAD
SOUTHBOROUGH MA 01772

Officer/Director/Trustee Four

RICHARD FALCONI
DIRECTOR
14 NEWTON STREET
SOUTHBOROUGH MA 01772

Officer/Director/Trustee Five

JOHN WILSON
TREASURER
4 MIDDLE STREET
SOUTHBOROUGH MA 01772

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/24/1965
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A80 - Historical Societies, Related Historical Activities
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 Yes
One Third Support Gifts No
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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