FORM 1023-EZ for ASSOCIATION OF CHELMSFORD THEATERINC

Field Data
EIN 82-4407860
Case Number EO-2018297-000222
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ASSOCIATION OF CHELMSFORD THEATERINC
Organization’s Mailing Address 171 ROBIN HILL ROAD
City CHELMSFORD
State MA
ZIP 1824-3849
Accounting period End 6
Primary contact name JOHN DEWITT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHLEEN LISCIOTTA
PRESIDENT
5 DORAL DRIVE
NORTH CHELMSFORD MA 1863-1814

Officer/Director/Trustee Two

DEB BOLES
VICE PRESIDENT
34 OLD STAGE ROAD
CHELMSFORD MA 1824-4529

Officer/Director/Trustee Three

BETH BELLONE
VICE PRESIDENT
8 JUNIPER STREET
CHELMSFORD MA 1824-2402

Officer/Director/Trustee Four

JOHN DEWITT
TREASURER
4 DOMINIC DRIVE
CHELMSFORD MA 1824-4138

Officer/Director/Trustee Five

MELISSA HOLMES
SECRETARY
26 BARTON HILL ROAD
CHELMSFORD MA 1824-3823

Organization’s website NA
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/13/18
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A11 - Single Organization Support
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JOHN DEWITT
Signature Title TREASURER
Signature Date 10/22/18
EIN 82-4407860
Case Number EO-2018297-000222
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ASSOCIATION OF CHELMSFORD THEATER INC
Organization’s Mailing Address 171 ROBIN HILL ROAD
City CHELMSFORD
State MA
ZIP 1824-3849
Accounting period End 6
Primary contact name JOHN DEWITT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHLEEN LISCIOTTA
PRESIDENT
5 DORAL DRIVE
NORTH CHELMSFORD MA 1863-1814

Officer/Director/Trustee Two

DEB BOLES
VICE PRESIDENT
34 OLD STAGE ROAD
CHELMSFORD MA 1824-4529

Officer/Director/Trustee Three

BETH BELLONE
VICE PRESIDENT
8 JUNIPER STREET
CHELMSFORD MA 1824-2402

Officer/Director/Trustee Four

JOHN DEWITT
TREASURER
4 DOMINIC DRIVE
CHELMSFORD MA 1824-4138

Officer/Director/Trustee Five

MELISSA HOLMES
SECRETARY
26 BARTON HILL ROAD
CHELMSFORD MA 1824-3823

Organization’s website NA
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/13/18
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A11 - Single Organization Support
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JOHN DEWITT
Signature Title TREASURER
Signature Date 10/22/18

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