FORM 1023-EZ for ACTON FAMILY NETWORK

Field Data
EIN 43-3328356
Case Number EO-2015035-000166
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ACTON FAMILY NETWORK
Organization’s Mailing Address PO BOX 859
City ACTON
State MA
ZIP 01720
Accounting period End 6
Primary contact name BENJAMIN CALOS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHELLE SHOEMAKER
CO CHAIR PRESIDENT
371 CENTRAL STREET
ACTON MA 01720

Officer/Director/Trustee Two

CURRAN SHIEFELBEIN
CO CHAIR PRESIDENT
8 GREENWOOD LANE
ACTON MA 01720

Officer/Director/Trustee Three

MEGHAN BLUTE-NELSON
TREASURER
93 MAYFAIR DRIVE
BOXBOROUGH MA 01719

Officer/Director/Trustee Four

SARAH PROTOPOPOV
SECRETARY
81 STOW STREET
ACTON MA 01720

Organization’s website WWW.ACTONFAMILY.ORG
Organization’s email ACLARINUT@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/1997
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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