FORM 1023-EZ for COUNT ME IN

Field Data
EIN 82-4477548
Case Number EO-2018116-000194
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COUNT ME IN
Organization’s Mailing Address PO BOX 623
City EXETER
State NH
ZIP 3833
Accounting period End 4
Primary contact name LEANORA LEGRAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEANORA LEGRAND
PRESIDENT
10 HILLIARD ROAD
KENSINGTON NH 3833

Officer/Director/Trustee Two

KYLE LITTLEFIELD
VICE PRESIDENT
10 HILLIARD
KENSINGTON NH 3833

Officer/Director/Trustee Three

JAY CHILDS
TREASURER
7 HUNTER PLACE
EXETER NH 3833

Officer/Director/Trustee Four

BETH SALZMAN
SECRETARY
41 ALDERWOOD
STRATHAM NH 3833

Officer/Director/Trustee Five

COURTNEY LODICO
OFFICER
1 HUNTER PLACE
EXETER NH 3833

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/8/18
Organization Incorporation State NH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N66 - Tennis, Racquet Sports Clubs, Leagues
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 LEANORA LEGRAND
Signature Title PRESIDENT
Signature Date 4/24/18

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