FORM 1023-EZ for NORTH SHORE CARIBBEAN AMERICAN ORGANIZATION

Field Data
EIN 61-1690549
Case Number EO-2014340-000159
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTH SHORE CARIBBEAN AMERICAN ORGANIZATION
Organization’s Mailing Address 25 EXCHANGE STREET
City LYNN
State MA
ZIP 01901
Accounting period End 12
Primary contact name MURIEL CLEMENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MURIEL CLEMENT
PRESIDENT
25 EXCHANGE STREET
LYNN MA 01904

Officer/Director/Trustee Two

PAMELA ALLEYNE
VICE PRESIDENT
25 EXCHANGE STREET
LYNN MA 01901

Officer/Director/Trustee Three

MOVITA MARGO WILLIAMS
TREASURER
25 EXCHANGE STREET
LYNN MA 01901

Officer/Director/Trustee Four

JOAN ALLEYNE
SECRETARY
25 EXCHANGE STREET
LYNN MA 01904

Officer/Director/Trustee Five

DECOURCEY ALLEYNE
ASSISTANT TREASURER
25 EXCHANGE STREET
LYNN MA 01901

Organization’s website NA
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/15/2012
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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