FORM 1023-EZ for SOUTHIE SHAMROCKS CORPORATION

Field Data
EIN 81-3423788
Case Number EO-2017079-000163
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTHIE SHAMROCKS CORPORATION
Organization’s Mailing Address 1326 COLUMBIA ROAD APT 3
City SOUTH BOSTON
State MA
ZIP 02127
Accounting period End 12
Primary contact name GAYLE C BROCK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEAN HARRISON
PRESIDENT
194 H STREET
SOUTH BOSTON MA 02127

Officer/Director/Trustee Two

GAYLE BROCK
TREASURER
1326 COLUMBIA ROAD
SOUTH BOSTON MA 02127

Officer/Director/Trustee Three

GAYLE BROCK
VICE PRESIDENT
1326 COLUMBIA ROAD
SOUTH BOSTON MA 02127

Officer/Director/Trustee Four

PATRICIA COLEMAN
CLERK
177 M STREET
SOUTH BOSTON MA 02127

Officer/Director/Trustee Five

NANCY MEALY
DIRECTOR
129 GRANGER STREET
WOLLSTON MA 02170

Organization’s website SOUTHIESHAMROCKS.ORG
Organization’s email SOUTHIESHAMROCKS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/20/2016
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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