FORM 1023-EZ for SGT JORDAN M SHAY MEMORIAL FOUNDATION INC

Field Data
EIN 82-1397918
Case Number EO-2018073-000142
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SGT JORDAN M SHAY MEMORIAL FOUNDATION INC
Organization’s Mailing Address HOLLY SHAY 35 BROAD STREET UNIT 1
City NEWBURYPORT
State MA
ZIP 1913
Accounting period End 12
Primary contact name HOLLY SHAW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HOLLY SHAY
PRESIDENT
35 BROAD STREET
NEWBURYPORT MA 1913

Officer/Director/Trustee Two

KELSEY CHANDONNET
VICE PRESIDENT
13 CENTRAL STREET
GEORGETOWN MA 1833

Officer/Director/Trustee Three

JOANNE MELANSON
CLERK
2 BEACHMONT ROAD
SALEM MA 1970

Officer/Director/Trustee Four

SUE DEOROCKI
TREASURER
P O BOX 92
AMESBURY MA 1913

Officer/Director/Trustee Five

CATHY TOOMEY
DIRECTOR
2 ATLANTIC VIEW
AMESBURY MA 1913

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/3/17
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W30 - Military, Veterans' Organizations
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name HOLLY SHAY
Signature Title PRESIDENT
Signature Date 3/12/18

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