FORM 1023-EZ for MONSON DOLPHINS BOOSTERS

Field Data
EIN 43-3192323
Case Number EO-2016118-000107
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MONSON DOLPHINS BOOSTERS
Organization’s Mailing Address 40 COUNTRY CLUB DRIVE
City MONSON
State MA
ZIP 01057
Accounting period End 4
Primary contact name MARTHA LEYBURN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHELLE BRUNEAU
PRESIDENT
44 LAKESHORE DRIVE
MONSON MA 01057

Officer/Director/Trustee Two

LIANNE PENNINGTON
SECRETARY
9 LAKE SIDE DRIVE
MONSON MA 01057

Officer/Director/Trustee Three

DONNA NODELL
VICE PRESIDENT
63 WOODHILL ROAD
MONSON MA 01057

Officer/Director/Trustee Four

MARTHA LEYBURN
TREASURER
40 COUNTRY CLUB DRIVE
MONSON MA 01057

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/1988
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N67 - Swimming, Water Recreation
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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