FORM 1023-EZ for CRYSTAL SPRINGS CENTER FOR HEALING

Field Data
EIN 47-1834269
Case Number EO-2014261-000280
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CRYSTAL SPRINGS CENTER FOR HEALING
Organization’s Mailing Address 655 MAIN ST
City DUNSTABLE
State MA
ZIP 01827-1209
Accounting period End 12
Primary contact name LAURA KIRK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LAURA KIRK
PRESIDENT
655 MAIN ST
DUNSTABLE MA 01827-1209

Officer/Director/Trustee Two

JEFFREY KIRK
VICE PRESIDENT
655 MAIN ST
DUNSTABLE MA 01827-1209

Officer/Director/Trustee Three

BETHANY CULBERTSON
EXECUTIVE BOARD
655 MAIN ST
DUNSTABLE MA 01827-1209

Officer/Director/Trustee Four

SHELBY FLANNERY
TREASURER
8 CHATFIELD CIRCLE
WESTFORD MA 01886

Officer/Director/Trustee Five

JULISSA RODRIGUES
EXECUTIVE BOARD
15 4TH AVENUE
LOWELL MA 01854

Organization’s website WWW.CRYSTALSPRINGSHEALINGCENTER.COM
Organization’s email CRYSTALSPRINGSCENTERFORHEALING@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/15/2014
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 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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