FORM 1023-EZ for NORTH SHORE JUNETEENTH ASSOCIATIONINC

Field Data
EIN 82-1028337
Case Number EO-2018218-000447
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTH SHORE JUNETEENTH ASSOCIATIONINC
Organization’s Mailing Address 99 EUTAW AVE
City LYNN
State MA
ZIP 1902
Accounting period End 12
Primary contact name NICOLE MCCLAIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICOLE MCCLAIN
PRESIDENT, CEO, DIRECTOR,
99 EUTAW AVE
LYNN MA 1902

Officer/Director/Trustee Two

TAMARA KENNEY
TREASURER,CFO
1062 MAIN ST
MELROSE MA 2176

Officer/Director/Trustee Three

JACQUELYN FITZHUGH
ASSISTANT CLERK, VICE PRESIDENT
48 BLOOMFIELD ST
LYNN MA 1902

Officer/Director/Trustee Four

ARIEL FITZHUGH
CLERK
48 BLOOMFIELD ST
LYNN MA 1902

Organization’s website LYNNJUNETEENTH.WEEBLY.COM
Organization’s email LYNNJUNETEENTH@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/18/18
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: Yes
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 NICOLE MCCLAIN
Signature Title PRESIDENT, CEO, DIRECTOR,
Signature Date 8/2/18
EIN 82-1028337
Case Number EO-2018218-000447
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTH SHORE JUNETEENTH ASSOCIATION INC
Organization’s Mailing Address 99 EUTAW AVE
City LYNN
State MA
ZIP 1902
Accounting period End 12
Primary contact name NICOLE MCCLAIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICOLE MCCLAIN
PRESIDENT, CEO, DIRECTOR,
99 EUTAW AVE
LYNN MA 1902

Officer/Director/Trustee Two

TAMARA KENNEY
TREASURER,CFO
1062 MAIN ST
MELROSE MA 2176

Officer/Director/Trustee Three

JACQUELYN FITZHUGH
ASSISTANT CLERK, VICE PRESIDENT
48 BLOOMFIELD ST
LYNN MA 1902

Officer/Director/Trustee Four

ARIEL FITZHUGH
CLERK
48 BLOOMFIELD ST
LYNN MA 1902

Organization’s website LYNNJUNETEENTH.WEEBLY.COM
Organization’s email LYNNJUNETEENTH@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/18/18
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: Yes
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 NICOLE MCCLAIN
Signature Title PRESIDENT, CEO, DIRECTOR,
Signature Date 8/2/18

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