FORM 1023-EZ for BETA SIGMA BOULE FOUNDATION INC

Field Data
EIN 81-3199780
Case Number EO-2016196-000387
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BETA SIGMA BOULE FOUNDATION INC
Organization’s Mailing Address PO BOX 4634
City SPRINGFIELD
State MA
ZIP 01101-4634
Accounting period End 12
Primary contact name DOMINIC BLUE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

H BROOKS FITCH
PRESIDENT, DIRECTOR
PO BOX 4634
SPRINGFIELD MA 01101-4634

Officer/Director/Trustee Two

JEFFREY JOHNSON
TREASURER, DIRECTOR
PO BOX 4634
SPRINGFIELD MA 01101-4634

Officer/Director/Trustee Three

JOE SMITH
SECRETARY, DIRECTOR
PO BOX 4634
SPRINGFIELD MA 01101-4634

Officer/Director/Trustee Four

DOMINIC BLUE
ASSISTANT SECRETARY, DIRECTOR
PO BOX 4634
SPRINGFIELD MA 01101-4634

Officer/Director/Trustee Five

BRUCE CUTTING
DIRECTOR
PO BOX 4634
SPRINGFIELD MA 01101-4634

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/9/2016
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
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
Signature Title
Signature Date

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