FORM 1023-EZ for PHYSICAL THERAPIST ASSISTANT CONSORTIUM OF NEW ENGLAND INC

Field Data
EIN 52-2086424
Case Number EO-2017037-000446
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PHYSICAL THERAPIST ASSISTANT CONSORTIUM OF NEW ENGLAND INC
Organization’s Mailing Address 1 COLLEGE PLACE
City CLAREMONT
State NH
ZIP 03743
Accounting period End 8
Primary contact name LAURIE CLUTE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAURIE CLUTE
TREASURER
1 COLLEGE PLACE
CLAREMONT NH 03743

Officer/Director/Trustee Two

CHRISTOPHER ROLON
SECRETARY
181 MAIN ST
PRESQUE ISLE ME 04769

Officer/Director/Trustee Three

MICHELE DARROCH
ACADEMIC CHAIR
1350 WEST ST
PITTSFIELD MA 01201

Organization’s website HTTP://WWW.NEPTAC.ORG/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/2017
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
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 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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