FORM 1023-EZ for BRAKE THE SILENCE INC

Field Data
EIN 47-4296009
Case Number EO-2017221-000300
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BRAKE THE SILENCE INC
Organization’s Mailing Address PO BOX 676
City CHARLTON
State MA
ZIP 01507
Accounting period End 12
Primary contact name PAUL F VOZELLA ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIDGET GROH
PRESIDENT
15 G FRENCH ROAD
CHARLTON MA 01507

Officer/Director/Trustee Two

PAULA GAUTHIER
VICE PRESIDENT
31 VIND ROAD
CHARLTON MA 01507

Officer/Director/Trustee Three

ERIC TULLY
TREASURER
138 STAFFORD STREET
CHARLTON MA 01507

Officer/Director/Trustee Four

DARLENE TULLY
SECRETARY
138 STAFFORD STREET
CHARLTON MA 01507

Officer/Director/Trustee Five

MARK CUMMINGS
MEMBER
138 STAFFORD STREET
CHARLTON MA 01507

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/25/2017
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F12 - Fund Raising and/or Fund Distribution
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 Yes
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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