FORM 1023-EZ for WESTERN MASS MOM PROM

Field Data
EIN 82-1074738
Case Number EO-2017156-000289
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WESTERN MASS MOM PROM
Organization’s Mailing Address 37 DANIEL RIDGE
City WESTFIELD
State MA
ZIP 01085
Accounting period End 12
Primary contact name SUSAN CASH CANNIZZO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUSAN CASH CANNIZZO
TREASURER
140 ELLINGTON ST
LONGMEADOW MA 01106

Officer/Director/Trustee Two

TAMMY GLYNN
CO PRESIDENT
37 DANIEL RIDGE
WESTFIELD MA 01085

Officer/Director/Trustee Three

MARIANNE LANGLOIS
CO PRESIDENT
53 WESTERN AVENUE
WESTFIELD MA 01085

Organization’s website N/A
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/23/2017
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G12 - Fund Raising and/or Fund Distribution
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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