FORM 1023-EZ for BLACK HERITAGE TRAIL OF NEW HAMPSHIRE INC

Field Data
EIN 81-3921917
Case Number EO-2017003-000190
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLACK HERITAGE TRAIL OF NEW HAMPSHIRE INC
Organization’s Mailing Address PO BOX 6772
City PORTSMOUTH
State NH
ZIP 03802-6772
Accounting period End 12
Primary contact name ANTHONY DELYANI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT THOMPSON
PRESIDENT
15 COLONIAL WAY
EXETER NH 03833

Officer/Director/Trustee Two

DENNIS BRITTON
VICE PRESIDENT
71 GROVER STREET UNIT 5
DOVER NH 03820

Officer/Director/Trustee Three

ANTHONY DELYANI
SECRETARY
100 ARBORETUM WAY
PORTSMOUTH NH 03801

Officer/Director/Trustee Four

JODY FERNALD
TREASURER
25 FIELD AVE
YORK ME 03909

Officer/Director/Trustee Five

DWIGHT DAVIS
MEMBER
62 PORTSMOUTH AVE UNIT 4
STRATHAM NH 03856

Organization’s website BLACKHERITAGETRAILNH.ORG
Organization’s email JAEBOGGIS@BLACKHERITAGETRAILNH.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/25/2016
Organization Incorporation State NH
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: 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 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
Signature Title
Signature Date

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