FORM 1023-EZ for SEAN BUSBEE WILLIAMS MEMORIAL SCHOLARSHIP INC F-K-A SBW MEMORIAL SCHOL

Field Data
EIN 27-1697623
Case Number EO-2017207-000077
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SEAN BUSBEE WILLIAMS MEMORIAL SCHOLARSHIP INC F-K-A SBW MEMORIAL SCHOL
Organization’s Mailing Address 140 MUSTERFIELD HEIGHTS
City CLARKSBURG
State MA
ZIP 01247
Accounting period End 12
Primary contact name ROSS WINER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LINDA WILLIAMS
PRESIDENT
140 MUSTERFIELD HEIGHTS
CLARKSBURG MA 01247

Officer/Director/Trustee Two

ROSS WINER
TREASURER
3 STANLEY DRIVE
FRAMINGHAM MA 01701-3630

Officer/Director/Trustee Three

STEPHEN HEARN
CLERK
723 EAST 4TH STREET
SOUTH BOSTON MA 02127

Officer/Director/Trustee Four

JESS LAGENBACK
DIRECTOR
375 HENDERSON ROAD
CLARKSBURG MA 01247

Officer/Director/Trustee Five

PAUL DEVLIN
DIRECTOR
542 EAST 7TH STREET
SOUTH BOSTON MA 02127

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/20/2017
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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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