FORM 1023-EZ for TYPE ONE POSITIVE

Field Data
EIN 81-3742619
Case Number EO-2016253-000357
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TYPE ONE POSITIVE
Organization’s Mailing Address 25 VILLAGE ROAD
City RAYNHAM
State MA
ZIP 02767
Accounting period End 12
Primary contact name TRACYBROKMEIER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRACY BROKMEIER
PRESIDENT/CEO/FOUNDER
25 VILLAGE ROAD
RAYNHAM MA 02767

Officer/Director/Trustee Two

TIMOTHY BROKMEIER
VICE PRESIDENT/CO-FOUNDER
25 VILLAGE ROAD
RAYNHAM MA 02767

Organization’s website WWW.TYPEONEPOSITIVE.COM
Organization’s email EMAIL@TYPEONEPOSITIVE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/7/2016
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G80 - Specifically Named Diseases
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
Signature Title
Signature Date

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