FORM 1023-EZ for MASSACHUSETTS PATIENT ADVOCACY ALLIANCE FOUNDATION INC

Field Data
EIN 46-4926225
Case Number EO-2020244-000229
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MASSACHUSETTS PATIENT ADVOCACY ALLIANCE FOUNDATION INC
Organization’s Mailing Address ONE BEACON STREET 15TH FLOOR
City BOSTON
State MA
ZIP 02108-3107
Accounting period End 9
Primary contact name NICHOLE SNOW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICHOLE SNOW
PRESIDENT
190 BRIDGE ST APT 2314
SALEM MA 01970

Officer/Director/Trustee Two

MICHAEL LATULIPPE
TREASURER
190 BRIDGE ST APT 2314
SALEM MA 01970

Officer/Director/Trustee Three

ELIZABETH DOST
CLERK
100 SOLITUDE DRIVE
TAUNTON MA 02780

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/21/2013
Organization Incorporation State MA
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MICHAEL LATULIPPE
Signature Title TREASURER
Signature Date 8/27/2020
EIN 46-4926225
Case Number EO-2015021-000272
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MASSACHUSETTS PATIENT ADVOCACY ALLIANCE FOUNDATION
Organization’s Mailing Address 8 WOODSIDE AVE
City JAMAICA PLAIN
State MA
ZIP 02130
Accounting period End 9
Primary contact name MATTHEW ALLEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MATTHEW ALLEN
PRESIDENT
8 WOODSIDE AVE
JAMAICA PLAIN MA 02130

Officer/Director/Trustee Two

PETER HAYASHI
TREASURER
14 MOUNT IDA TERRACE
NEWTON MA 02458

Officer/Director/Trustee Three

RENE MARDONES
CLERK
84 STIMSON ST
WEST ROXBURY MA 02132

Organization’s website NA
Organization’s email MJPATIENTS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/21/2013
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
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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