FORM 1023-EZ for ROCKLAND SENIOR MENS CLUB

Field Data
EIN 47-3427887
Case Number EO-2015099-000553
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROCKLAND SENIOR MENS CLUB
Organization’s Mailing Address 27 HERITAGE DRIVE
City ROCKLAND
State MA
ZIP 02370
Accounting period End 12
Primary contact name JOHN J ROGERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOIHN CONWAY
PRESIDENT
845 LIBERTY ST
ROCKLAND MA 02370

Officer/Director/Trustee Two

ROBERT WHITE
VICE PRSESIDENT
8 STRAWBERRY HILL RD
PLYMOUTH MA 02360

Officer/Director/Trustee Three

ROGER BENIERS
TREASURER
97 EVERETT ST
ROCKLAND MA 02370

Officer/Director/Trustee Four

RICHARD LAURIA
SECRETARY
1 LEAH DR
ROCKLAND MA 02370

Officer/Director/Trustee Five

JOHN ROGERS
DIRECTOR
27 HERITAGE DRIVE
ROCKLAND MA 02370

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/31/2014
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P81 - Senior Centers, Services
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 Yes
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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