FORM 1023-EZ for CLINTON ALLCOHOL INFORMATION CORP

Field Data
EIN 47-4601461
Case Number EO-2015292-000400
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CLINTON ALLCOHOL INFORMATION CORP
Organization’s Mailing Address 256 HIGH STREET
City CLINTON
State MA
ZIP 01510
Accounting period End 12
Primary contact name AUSTIN T PHILBIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

AUSTIN PHILBIN
PRESIDENT TREASURER DIRECTOR
332 CHESTNUT
CLINTON MA 01510

Officer/Director/Trustee Two

DAVID ROCKWELL
CLERK DIRECTOR
239 STERLING ROAD
LANCASTER MA 01523

Officer/Director/Trustee Three

SCOTT VANASSE
DIRECTOR
271 CHURCH APT26
CLINTON MA 01510

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2015
Organization Incorporation State
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
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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