FORM 1023-EZ for THE LEOMINSTER HIGH SCHOOL ATHLETICHALL OF FAME INC

Field Data
EIN 46-5352099
Case Number EO-2014357-000036
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE LEOMINSTER HIGH SCHOOL ATHLETICHALL OF FAME INC
Organization’s Mailing Address 122 GRANITE STREET
City LEOMINSTER
State MA
ZIP 01453
Accounting period End 12
Primary contact name DOMINIC CICCOLINI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

FRANK STEFFANIDES
PRESIDENT
60 SENECA STREET
FITCHBURG MA 01420

Officer/Director/Trustee Two

ROBERT HEALY
VICE-PRESIDENT
54 ISLAND ROAD
LUNENBURG MA 01462

Officer/Director/Trustee Three

RICHARD BARNABY
TREASURER
113 ELLIS ROAD
WESTMINSTER MA 01473

Officer/Director/Trustee Four

SHELLY BARRY
CLERK
16 HAB ROAD EXT
HUBBARDSTON MA 01452

Officer/Director/Trustee Five

LAUREEN CIPOLLA
FACILITATOR/DIRECTOR
455 MT ELAM ROAD
FITCHBURG MA 01420

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/10/2014
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
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
Signature Title
Signature Date

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