FORM 1023-EZ for GREEN BURIAL MASSACHUSETTS INC

Field Data
EIN 81-1651622
Case Number EO-2016085-000437
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GREEN BURIAL MASSACHUSETTS INC
Organization’s Mailing Address 3 EMERSON LANE
City LENOX
State MA
ZIP 01240
Accounting period End 12
Primary contact name JOAN PILLSBURY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JUDITH LOREI
PRESIDENT/DIRECTOR
7 NORTH ST
MONTAGUE MA 01351

Officer/Director/Trustee Two

JOAN PILLSBURY
TREASURER/DIRECTOR
270 MOUNTAIN RD
GILL MA 01354

Officer/Director/Trustee Three

EVA MOSELEY
CLERK/DIRECTOR
361 MOUNT AUBURN ST
CAMBRIDGE MA 02138-5526

Officer/Director/Trustee Four

CAROL COAN
DIRECTOR
174 WELLS ST
GREENFIELD MA 01301

Officer/Director/Trustee Five

CANDACE CURRIE
DIRECTOR
3 EMERSON LANE
LENOX MA 01240

Organization’s website WWW.GREENBURIALMA.ORG
Organization’s email INFO@GREENBURIALMA.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/7/2016
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
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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