FORM 1023-EZ for SLC PAY IT FORWARD CORPORATION
| Field | Data |
|---|---|
| EIN | 81-4867099 |
| Case Number | EO-2017019-000216 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | SLC PAY IT FORWARD CORPORATION |
| Organization’s Mailing Address | 2400 DISTRICT AVENUE STE 216 |
| City | BURLINGTON |
| State | MA |
| ZIP | 01803 |
| Accounting period End | 12 |
| Primary contact name | JENNY BUTRYM |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JENNY BUTRYM
EXECUTIVE DIRECTOR
1 HIGH PINE DRIVE
HUDSON NH 03051
Officer/Director/Trustee Two
JACEN DINOFF
CO-PRES, TREAS, CLERK, DIR
1 SWEET MEADOW
NASHUA NH 03063
Officer/Director/Trustee Three
ANDREW MOSER
CO-PRESIDENT, DIRECTOR
12 DOVER DRIVE
WALPOLE MA 02081
Officer/Director/Trustee Four
ELIZABETH COHEN
DIRECTOR
677 CLASSON AVENUE 1RR
BROOKLYN NY 11238
Officer/Director/Trustee Five
ALLISON FLYNN
DIRECTOR
12 WELLESLEY AVENUE
WELLESLEY MA 02481
| Organization’s website | WWW.SLCPAYITFORWARD.COM |
|---|---|
| Organization’s email | JARMSTRONG@SLCPAYITFORWARD.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/17/2016 |
| 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: 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 | Yes |
| 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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