FORM 1023-EZ for BLACK DUCK FIELD TRIAL RETRIEVER CLUB
| Field | Data |
|---|---|
| EIN | 86-2093129 |
| Case Number | EO-2021091-000859 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BLACK DUCK FIELD TRIAL RETRIEVER CLUB |
| Organization’s Mailing Address | 23 CAMELOT DRIVE |
| City | BOXFORD |
| State | MA |
| ZIP | 01921 |
| Accounting period End | 12 |
| Primary contact name | MALCOLM HAITH |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MALCOLM HAITH
PRESIDENT
23 CAMELOT DRIVE
BOXFORD MA 01921
Officer/Director/Trustee Two
BARBARA HAITH
SECRETARY & TREASURER
23 CAMELOT DRIVE
BOXFORD MA 01921
Officer/Director/Trustee Three
MARY ELLEN FLETCHER
VICE PRESIDENT
35 PURITAN ROAD
SWAMPSCOTT MA 01907
Officer/Director/Trustee Four
ERIC LISTER
BOD MEMBER
95 CAMPBELL ROAD
NORTH ANDOVER MA 01845
Officer/Director/Trustee Five
TIM MUELLER
BOD MEMBER
PO BOX 478
NEWBURY NH 03255
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/19/2021 |
| Organization Incorporation State | MA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | N99 - Recreation, Sports, Leisure, Athletics N.E.C. |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes 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 | Yes |
| 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 | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | MALCOLM HAITH |
| Signature Title | PRESIDENT |
| Signature Date | 2/22/2021 |
Recently Saved Organizations
Click on the save icon from a search results or organization page.
Advertisement
