FORM 1023-EZ for JERICHO ROAD WORCESTER INCORPORATED

Field Data
EIN 47-1570314
Case Number EO-2014288-000152
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JERICHO ROAD WORCESTER INCORPORATED
Organization’s Mailing Address 484 MAIN STREET SUITE 300
City WORCESTER
State MA
ZIP 01608
Accounting period End 6
Primary contact name JOLENE JENNINGS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JEANINE BERATTA
PRESIDENT
86 QUINAPOXET LANE
WORCESTER MA 01606

Officer/Director/Trustee Two

JIM DOLAN
TREASURER
769 GROVE STREET
WORCESTER MA 01605

Officer/Director/Trustee Three

JOAN RUSSO
CLERK
94 MAPLE STREET
STERLING MA 01565

Officer/Director/Trustee Four

JOLENE JENNINGS
EXECUTIVE DIRECTOR
55 CAMPBELL STREET
RUTLAND MA 01543

Officer/Director/Trustee Five

MIKE PECKAR
DIRECTOR
22 NORTH MAIN STREET
WEST BOYLSTON MA 01543

Organization’s website WWW.JERICHOROADPROJECT.ORG/WORCESTER
Organization’s email JJENNINGS@JERICHOROADPROJECT.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/17/2014
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S50 - Nonprofit Management
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 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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