FORM 1023-EZ for TBL 250 LEGACY FOUNDATION INC

Field Data
EIN 83-1451006
Case Number EO-2018222-000396
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TBL 250 LEGACY FOUNDATION INC
Organization’s Mailing Address 3 TYSON RD
City SOUTH EASTON
State MA
ZIP 2375
Accounting period End 12
Primary contact name SARA KUZMIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CASEY SHORT
PRESIDENT
3 TYSON RD
SOUTH EASTON MA 2375

Officer/Director/Trustee Two

SARA KUZMIN
VICE PRESIDENT
30 RAINBOW CIRCLE
PEABODY MA 1960

Officer/Director/Trustee Three

JOSEPH ROSSI
TREASURER
10 WINGATE RD
HYDE PARK MA 2136

Officer/Director/Trustee Four

TAMARA BEDER
CLERK
284 HIGHLAND ST
STOUGHTON MA 2072

Officer/Director/Trustee Five

MICHAEL GAFFNEY
DIRECTOR
264 TURNPIKE ST
STOUGHTON MA 2072

Organization’s website
Organization’s email TBL250LEGACYFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/26/18
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 Yes
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 SARA KUZMIN
Signature Title VICE PRESIDENT
Signature Date 8/8/18

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