FORM 1023-EZ for DEANS LIST INC

Field Data
EIN 47-2291490
Case Number EO-2015091-000163
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DEANS LIST INC
Organization’s Mailing Address 25 ESTEN AVE
City PAWTUCKET
State RI
ZIP 02860-4286
Accounting period End 12
Primary contact name PAUL O PLUNKETT ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARK SOUTHWORTH
PRESIDENT DIRECTOR
23 BURRATI RD
JOHNSTON RI 02919-3216

Officer/Director/Trustee Two

JOHN GREGSON
VICE PRESIDENT DIRECTOR
86 PINE ST
DOUGLAS MA 01516-2703

Officer/Director/Trustee Three

KIM SCULLION
SECRETARY DIRECTOR
3 NORTHVIEW TERRACE
NORTH PROVIDENCE RI 02911-1533

Officer/Director/Trustee Four

ALEX IANNETTA
TREASURER DIRECTOR
9 WENDI CT
NORTH PROVIDENCE RI 02911-1131

Officer/Director/Trustee Five

CHARLES CUMMISKEY
DIRECTOR
104 STONEWAY RD
WAKEFIELD RI 02879-3968

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/13/2014
Organization Incorporation State RI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P82 - Developmentally Disabled Centers, Services
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
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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