FORM 1023-EZ for OTIS OBSERVER

Field Data
EIN 47-3575404
Case Number EO-2015125-000034
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OTIS OBSERVER
Organization’s Mailing Address BOX 533
City OTIS
State MA
ZIP 01253-0533
Accounting period End 12
Primary contact name ARLENE TOLOPKO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LINDA ROCKE
PRESIDENT
15 OLD STATE RD
OTIS MA 01253

Officer/Director/Trustee Two

DIANE PROVENZ
TREASURER
216 HARRINGTON RD
OTIS MA 01253

Officer/Director/Trustee Three

ARLENE TOLOPKO
CLERK
50 HARRINGTON RD
OTIS MA 01253

Officer/Director/Trustee Four

CAROL LOMBARDO
DIRECTOR
232 HARRINGTON RD
OTIS MA 01253

Organization’s website
Organization’s email OTISOBSERVER@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/26/2015
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A30 - Media, Communications Organizations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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
Signature Title
Signature Date

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