FORM 1023-EZ for SERLIN HALEY CHARITABLE FOUNDATIONINC

Field Data
EIN 46-2037610
Case Number EO-2014269-000104
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SERLIN HALEY CHARITABLE FOUNDATIONINC
Organization’s Mailing Address 51 FRANKLIN STREET FLOOR 3
City BOSTON
State MA
ZIP 02110
Accounting period End 12
Primary contact name ETHAN SAWYER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARTIN FISHER
PRESIDENT DIRECTOR
328 K STREET
BOSTON MA 02127

Officer/Director/Trustee Two

SUSAN TEVNAN
TREASURER DIRECTOR
4 FAIRFAX STREET
BOSTON MA 02124

Officer/Director/Trustee Three

BETSY KEADY
CLERK DIRECTOR
145 PINCKNEY STREET SUITE 229
BOSTON MA 02114

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/14/2013
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T20 - Private Grantmaking Foundations
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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