FORM 1023-EZ for PELHAM COMMUNITY COALITION

Field Data
EIN 47-1129071
Case Number EO-2017277-000129
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PELHAM COMMUNITY COALITION
Organization’s Mailing Address PO BOX 537
City PELHAM
State NH
ZIP 03076
Accounting period End 12
Primary contact name HAROLD LYNDE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBORAH RYAN
CHAIRMAN
1314 MAMMOTH RD
PELHAM NH 03076

Officer/Director/Trustee Two

HAROLD LYNDE
VICE CHAIRMAN
114 JEREMY HILL RD
PELHAM NH 03076

Officer/Director/Trustee Three

AMANDA LACAROZ
SECRETARY
8 CONNORS ST
LONDONDERRY NH 03053

Officer/Director/Trustee Four

CHARLENE TAKESIAN
TREASURER
114 JEREMY HILL RD
PELHAM NH 03076

Officer/Director/Trustee Five

BRIAN KELLEY
DIRECTOR
27 ERHARDT TERRACE
METHUEN MA 01844

Organization’s website NA
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/14/2014
Organization Incorporation State NH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date
EIN 47-1129071
Case Number EO-2016217-000279
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PELHAM COMMUNITY COALITION
Organization’s Mailing Address PO BOX 537
City PELHAM
State NH
ZIP 03076
Accounting period End 12
Primary contact name HAROLD LYNDE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBORAH RYAN
CHAIRMAN
1314 MAMMOTH RD
PELHAM NH 03076

Officer/Director/Trustee Two

HAROLD LYNDE
VICE CHAIRMAN
114 JEREMY HILL
PELHAM NH 03076

Officer/Director/Trustee Three

AMANDA LACAROZ
SECRETARY
8 CONNORS ST
LONDONDERRY NH 03053

Officer/Director/Trustee Four

CHARLENE TAKESIAN
TREASURER
114 JEREMY HILL
PELHAM NH 03076

Officer/Director/Trustee Five

BRIAN KELLY
DIRECTOR
27 ERHARDT TERRACE
METHUEN MA 01844

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/14/2014
Organization Incorporation State NH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
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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