FORM 1023-EZ for FRIENDS OF ST LUKES INC

Field Data
EIN 81-5437066
Case Number EO-2017058-000586
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS OF ST LUKES INC
Organization’s Mailing Address 141 MAIN ST
City SOUTHBRIDGE
State MA
ZIP 01550-2524
Accounting period End 12
Primary contact name SUSAN HOWLAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DR JOHN HOWLAND
PRESIDENT
132 OSGOOD RD
CHARLTON MA 01507-5342

Officer/Director/Trustee Two

MRS TAMSIN LUCEY
VICE PRESIDENT/SECRETARY
109 FISKE HILL RD
STURBRIDGE MA 01566-1227

Officer/Director/Trustee Three

MRS SUSAN PAGE HOWLAND
TREASURER
132 OSGOOD RD
CHARLTON MA 01507-5342

Officer/Director/Trustee Four

REV RICHARD SIGNORE
DIRECTOR
20 KAPPIUS WAY
NEWTON MA 02459-3713

Officer/Director/Trustee Five

REV KIRSTEN NELSON-ROENFELDT
DIRECTOR
251 MARCY ST
SOUTHBRIDGE MA 01550-2360

Organization’s website STLUKESGUESTHOUSE.WORDPRESS.COM
Organization’s email STLUKESGUESTHOUSE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/7/2017
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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 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
Signature Title
Signature Date

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