FORM 1023-EZ for CLIMATE COMMUNITY CENTER

Field Data
EIN 84-3513280
Case Number EO-2020049-000197
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLIMATE COMMUNITY CENTER
Organization’s Mailing Address 545 PAWTUCKET AVENUE
City PAWTUCKET
State RI
ZIP 02862
Accounting period End 6
Primary contact name MARK ALLAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK ALLAN
PRESIDENT
53 AGAWAM AVENUE
WARWICK RI 02889

Officer/Director/Trustee Two

JUSTIN BOYAN
SECRETARY
10 JENCKES STREET
PROVIDENCE RI 02906

Officer/Director/Trustee Three

KRISTEN IVY MOSES
TREASURER
107 ARNOLD STREET
RIVERSIDE RI 02915

Officer/Director/Trustee Four

MELISSA GUILLET
BOARD MEMBER
45 DEAN AVENUE
JOHNSTON RI 02919

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/4/2019
Organization Incorporation State RI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C01 - Alliance/Advocacy Organizations
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 MARK ALLAN
Signature Title PRESIDENT
Signature Date 2/13/2020

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