FORM 1023-EZ for PROVINCETOWN CANTEEN UNIT INC

Field Data
EIN 82-2908133
Case Number EO-2018106-000191
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PROVINCETOWN CANTEEN UNIT INC
Organization’s Mailing Address PO BOX 108
City TRURO
State MA
ZIP 2666
Accounting period End 12
Primary contact name STEVE RODERICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICIA BROOKS
PRESIDENT AND DIRECTOR
41 BRADFORD STREET
PROVINCETOWN MA 2657

Officer/Director/Trustee Two

DEBRA TROVATO
VICE PRESIDENT AND DIRECTOR
73 SHANK PAINTER ROAD
PROVINCETOWN MA 2657

Officer/Director/Trustee Three

BETHANY TASHA
CLERK AND DIRECTOR
3 KINGS WAY
PROVINCETOWN MA 2657

Officer/Director/Trustee Four

STEVE RODERICK
TREASURER AND DIRECTOR
41 CONWELL STREET
PROVINCETOWN MA 2657

Officer/Director/Trustee Five

KAREN SILVA
DIRECTOR
39 BAYBERRY AVENUE
PROVINCETOWN MA 2657

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/26/17
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M60 - Public Safety
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 STEVE RODERICK
Signature Title TREASURER AND DIRECTOR
Signature Date 4/6/18

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