FORM 1023-EZ for HEALTHY PLYMOUTH COMMUNITY ENGAGEMENT

Field Data
EIN 85-3941932
Case Number EO-2021111-000236
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEALTHY PLYMOUTH COMMUNITY ENGAGEMENT
Organization’s Mailing Address 36 CORDAGE PARK CIRCLE
City PLYMOUTH
State MA
ZIP 02360
Accounting period End 12
Primary contact name MALISSA KENNEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KRYSTAL DANNER
PRESIDENT
15 INDEPENDENCE STREET
PLYMOUYTH MA 02360-3209

Officer/Director/Trustee Two

KAREN RICH
TREASURER
19 SLEEPY HOLLOW DRIVE
PLYMOUTH MA 02360-3579

Officer/Director/Trustee Three

ROBERT NOLET
CLERK
36 PEARL STREET
PLYMOUTH MA 02360-1065

Officer/Director/Trustee Four

LORI RUSH
VICE PRESIDENT
28 MANOMET POINT ROAD
PLYMOUTH MA 02360-1125

Officer/Director/Trustee Five

CHRIS CAMPBELL
DIRECTOR
75 ELLIOT LANE
PLYMOUTH MA 02360-2184

Organization’s website
Organization’s email WMAKENNEY@MSN.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/10/2020
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KRYSTAL DANNER
Signature Title PRESIDENT
Signature Date 4/19/2021

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