FORM 1023-EZ for PEDAL THRU YOUTH INC

Field Data
EIN 82-2464369
Case Number EO-2017230-000083
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PEDAL THRU YOUTH INC
Organization’s Mailing Address 8B CASTLE HILL RD
City AGAWAM
State MA
ZIP 01001-2460
Accounting period End 12
Primary contact name MICHELLE WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE WILLIAMS
PRESIDENT/CHAIR
8B CASTLE HILL RD
AGAWAM MA 01001-2460

Officer/Director/Trustee Two

GERRY GOSSELIN
TREASURER/DIRECTOR
8B CASTLE HILL RD
AGAWAM MA 01001-2460

Officer/Director/Trustee Three

STEPHEN CARY
CLERK/DIRECTOR
87 PINEYWOODS AVE
SPRINGFIELD MA 01108-2515

Officer/Director/Trustee Four

ROBERT CHARLAND
DIRECTOR
59 DAVISTON ST
SPRINGFIELD MA 01108-2225

Officer/Director/Trustee Five

LAURA CHRISTOPH
DIRECTOR
276 BAY RD
HADLEY MA 01035-9780

Organization’s website WWW.PEDALTHRUYOUTH.ORG
Organization’s email CONTACT@PEDALTHRUYOUTH.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/9/2017
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O99 - Youth Development N.E.C.
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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