FORM 1023-EZ for LITCHFIELD DESTINATION IMAGINATION INC

Field Data
EIN 81-4223124
Case Number EO-2016327-000221
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LITCHFIELD DESTINATION IMAGINATION INC
Organization’s Mailing Address 15 WINDSOR DRIVE
City LITCHFIELD
State NH
ZIP 03052
Accounting period End 6
Primary contact name SARA MORIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MAURISSA FLUET
PRESIDENT
15 WINDSOR DRIVE
LITCHFIELD NH 03052

Officer/Director/Trustee Two

SARA MORIN
TREASURER
13 WINDSOR DRIVE
LITCHFIELD NH 03052

Officer/Director/Trustee Three

KELLY KASPRZAK
BOARD MEMBER
20 MARTIN LANE
LITCHFIELD NH 03052

Officer/Director/Trustee Four

SUSAN HALEY
BOARD MEMBER
60 PILGRIM DRIVE
LITCHFIELD NH 03052

Officer/Director/Trustee Five

STEPHANIE BROWN
BOARD MEMBER
92 BRENTON STREET
LITCHFIELD NH 03052

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/31/2016
Organization Incorporation State NH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
Organization’s purpose Charitable: No
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 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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