FORM 1023-EZ for PALMER MEMORIAL CAPTAINS CUP SCHOLARSHIP FUND

Field Data
EIN 84-2580122
Case Number EO-2020197-000321
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PALMER MEMORIAL CAPTAINS CUP SCHOLARSHIP FUND
Organization’s Mailing Address PO BOX 712
City FISKDALE
State MA
ZIP 01518-0712
Accounting period End 12
Primary contact name DEBORAH CORRIVEAU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBORAH CORRIVEAU
DIRECTOR
PO BOX 712
FISKDALE MA 01518-0712

Officer/Director/Trustee Two

LEONARD CORRIVEAU
DIRECTOR
PO BOX 712
FISKDALE MA 01518-0712

Officer/Director/Trustee Three

JOANNE LABONTE
DIRECTOR
39 BLACKMERE ROAD
SOUTHBRIDGE MA 01550-3109

Officer/Director/Trustee Four

NA NA
NA
NA
FISKDALE MA 01518-0712

Officer/Director/Trustee Five

NA NA
NA
NA
FISKDALE MA 01518-0712

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/30/2019
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 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 DEBORAH CORRIVEAU
Signature Title DIRECTOR
Signature Date 7/13/2020

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