FORM 1023-EZ for FRIENDS OF CAMP KINGSWOOD INC

Field Data
EIN 81-5059475
Case Number EO-2017038-000246
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS OF CAMP KINGSWOOD INC
Organization’s Mailing Address 111 PLEASANT ST
City NATICK
State MA
ZIP 01760
Accounting period End 9
Primary contact name DAVID EPSTEIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIEL SULLIVAN
PRESIDENT, DIRECTOR
42 8TH ST UNIT 1103
CHARLESTOWN MA 02129

Officer/Director/Trustee Two

JILL ASSER
TREASURER, DIRECTOR
19 WINCHESTER ST APT 404
BROOKLINE MA 02446

Officer/Director/Trustee Three

DAVID EPSTEIN
SECRETARY, DIRECTOR
111 PLEASANT ST
NATICK MA 01760

Officer/Director/Trustee Four

MITCHELL STERN
DIRECTOR
81 COTTONWOOD DR
STOUGHTON MA 02072

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/29/2016
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - Fund Raising and/or Fund Distribution
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 Yes
One Third Support Gifts No
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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