FORM 1023-EZ for CITIZEN MEDIA INC

Field Data
EIN 42-2741139
Case Number EO-2015040-000382
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CITIZEN MEDIA INC
Organization’s Mailing Address 75 WATER STREET
City WILLIAMSTOWN
State MA
ZIP 01267-2848
Accounting period End 6
Primary contact name WILLIAM P DENSMORE JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WILLIAM DENSMORE
PRES., TREASURER, CLERK, DIRECTOR
1182 MAIN STREET
WILLIAMSTOWN MA 01267

Officer/Director/Trustee Two

PATRICK DUNLAVEY
DIRECTOR
40 OBLONG ROAD
WILLIAMSTOWN MA 01267

Officer/Director/Trustee Three

BRIAN HANDSPICKER
DIRECTOR
243 UNION STREET
NORTH ADAMS MA 01247

Organization’s website HTTP://WWW.CITIZEN-MEDIA.ORG
Organization’s email WPDENSMORE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/13/1981
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S05 - Research Institutes and/or Public Policy Analysis
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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
Signature Title
Signature Date

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