FORM 1023-EZ for MEDFORD BAND PARENT ORGANIZATION INC

Field Data
EIN 35-2603891
Case Number EO-2019343-000487
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MEDFORD BAND PARENT ORGANIZATION INC
Organization’s Mailing Address 10 STICKNEY ROAD
City MEDFORD
State MA
ZIP 02155
Accounting period End 6
Primary contact name DAVID CROWLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID CROWLEY
PRESIDENT
10 STICKNEY ROAD
MEDFORD MA 02155

Officer/Director/Trustee Two

KAREN SMITH
TREASURER
7 ARDEN ROAD
MEDFORD MA 02155

Officer/Director/Trustee Three

RINAH YAMAMOTO
CLERK
5 DOVER STREET
MEDFORD MA 02155

Officer/Director/Trustee Four

KEITH OBRIEN
DIRECTOR
2 METCALF STREET
MEDFORD MA 02155

Officer/Director/Trustee Five

SANDRA BROCKMAN-LEE
DIRECTOR
9 LAKEVIEW AVENUE
MEDFORD MA 02155

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/22/2017
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
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 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 DAVID CROWLEY
Signature Title PRESIDENT
Signature Date 12/6/2019

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