FORM 1023-EZ for AMAZING GRACE OF CAPE COD INC

Field Data
EIN 36-4798715
Case Number EO-2015191-000340
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AMAZING GRACE OF CAPE COD INC
Organization’s Mailing Address P O BOX 636
City CENTERVILLE
State MA
ZIP 02632
Accounting period End 12
Primary contact name CAROL BOLSTAD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CAROL BOLSTAD
PRESIDENT/CHAIRPERSON
81 BLUEBERRY HILL RD
HYANNIS MA 02601

Officer/Director/Trustee Two

PETER LEMIRE
TREASURER
263 PIMLOCO POND
MASHPEE MA 02649

Officer/Director/Trustee Three

BERNICE WINTHROP
VICE-PRESIDENT/SECRETARY
10 SNOW CREEK RD
HYANNIS MA 02601

Officer/Director/Trustee Four

HILARY GREENE
DIRECTOR
18 VALLEY BROOK RD
CENTERVILLE MA 02632

Officer/Director/Trustee Five

ROSS ANDERSON
DIRECTOR
2849 MAIN ST
BARNSTABLE MA 02630

Organization’s website AMAZINGGRACECAPECOD.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/18/2015
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I21 - Delinquency Prevention
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 Yes
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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