FORM 1023-EZ for QUABBIN VALLEY DISC GOLF INC

Field Data
EIN 85-3931039
Case Number EO-2021084-000098
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name QUABBIN VALLEY DISC GOLF INC
Organization’s Mailing Address 15 LAMSON AVE
City BELCHERTOWN
State MA
ZIP 01007
Accounting period End 12
Primary contact name STEPHAN CORBIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHAN CORBIN
PRESIDENT
15 LAMSON AVE
BELCHERTOWN MA 01007

Officer/Director/Trustee Two

CHRISTOPHER GRAZIOSO
VICE PRESIDENT
11 HEMLOCK HOLLOW DRIVE
BELCHERTOWN MA 01007

Officer/Director/Trustee Three

MEGAN BURROWS
CLERK
2 MERCIER DRIVE
BELCHERTOWN MA 01007

Officer/Director/Trustee Four

SEAN SULLIVAN-DALEY
DIRECTOR
101 PONDVIEW CIRCLE
BELCHERTOWN MA 01007

Officer/Director/Trustee Five

CHRISTOPHER SHEA
DIRECTOR
27 CAROL ANN DRIVE
BELCHERTOWN MA 01007

Organization’s website WWW.QUABBINVALLEYDG.COM
Organization’s email INFO@QUABBINVALLEYDG.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/13/2020
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
Organization’s purpose Charitable: Yes
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 STEPHAN CORBIN
Signature Title PRESIDENT
Signature Date 11/17/2020

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