FORM 1023-EZ for MISFITS REHAB

Field Data
EIN 83-1103793
Case Number EO-2018212-000148
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MISFITS REHAB
Organization’s Mailing Address 850 GARFIELD RD
City AUBURN
State ME
ZIP 4210-8927
Accounting period End 12
Primary contact name JENNIFER MARCHIGIANI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER MARCHIGIANI
PRESIDENT/SECRETARY
98 SUMMER STREET
AUBURN ME 4210-5121

Officer/Director/Trustee Two

MICHAEL MARCHIGIANI
OFFICER
850 GARFIELD RD
AUBURN ME 4210-8927

Officer/Director/Trustee Three

RICHARD BURTON
VICE PRESIDENT
14 SCRIBNER BLVD
LEWISTON ME 4240-5006

Officer/Director/Trustee Four

LINDA COOPER
TREASURER
850 GARFIELD RD
AUBURN ME 4210-8927

Officer/Director/Trustee Five

KAILI STALLING
OFFICER
154 TURNER CENTER RD
TURNER ME 4282-3739

Organization’s website HTTP://WWW.MISFITSREHAB.ORG
Organization’s email DONATE@MISFITSREHAB.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/2/02
Organization Incorporation State ME
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D30 - Wildlife Preservation, Protection
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: Yes
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JENNIFER MARCHIGIANI
Signature Title PRESIDENT/SECRETARY
Signature Date 7/29/18

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