FORM 1023-EZ for HAMPSHIRE COUNTY 4-H EXCHANGE

Field Data
EIN 43-3731633
Case Number EO-2017139-000341
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HAMPSHIRE COUNTY 4-H EXCHANGE
Organization’s Mailing Address PO BOX 183 43 STAGE ROAD
City CHESTERFIELD
State MA
ZIP 01012
Accounting period End 6
Primary contact name SHARON WHITMORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHARON WHITMORE
LEADER
43 STAGE ROAD POBOX 183
CHESTERFIELD MA 01012

Officer/Director/Trustee Two

HEATHER MASON
ASSISTANT LEADER
259 DENVER STREET
SPRINGFIELD MA 01109-1903

Officer/Director/Trustee Three

ANNE CHAPDELAINE
ADVISOR
8 BLUEMER ROAD
SOUTHAMPTON MA 01073

Organization’s website
Organization’s email NICHOLSDRIVINGSCHOOL@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/15/2016
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O51 - Youth Community Service Clubs
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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