FORM 1023-EZ for CAMP ITALIA RETREAT

Field Data
EIN 46-4001363
Case Number EO-2020134-000261
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CAMP ITALIA RETREAT
Organization’s Mailing Address 1 MASSASOIT ROAD
City WORCESTER
State MA
ZIP 01604
Accounting period End 11
Primary contact name RAYMUND LOPOLITO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SALVATORE MUSTICA
PRESIDENT
21 SIMONE STREET
WORCESTER MA 01604

Officer/Director/Trustee Two

RAYMUND LOPOLITO
VICE PRESIDENT
10 BAY EDGE LANE
WORCESTER MA 01604

Organization’s website WWW.CAMPITALIA.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/10/2013
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RAYMUND LOPOLITO
Signature Title VICE PRESIDENT
Signature Date 5/11/2020

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