FORM 1023-EZ for FOUR MILE POND PRESERVATION GROUP INC

Field Data
EIN 81-5105665
Case Number EO-2017117-000429
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FOUR MILE POND PRESERVATION GROUP INC
Organization’s Mailing Address 23 FIELDSTONE WAY
City BOXFORD
State MA
ZIP 01921
Accounting period End 12
Primary contact name TIMOTHY M SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIMOTHY SMITH
PRESIDENT, DIRECTOR
23 FIELDSTONE WAY
BOXFORD MA 01921

Officer/Director/Trustee Two

DEBORAH CASEY
TREASURER, DIRECTOR
22 FIELDSTONE WAY
BOXFORD MA 01921

Officer/Director/Trustee Three

DAVID WALLS
CLERK, DIRECTOR
66 HIGH RIDGE RD
BOXFORD MA 01921

Officer/Director/Trustee Four

SCOTT HAYNES
DIRECTOR
74 HIGH RIDGE RD
BOXFORD MA 01921

Organization’s website FOURMILEPOND.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/31/2017
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C32 - Water Resource, Wetlands Conservation and Management
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 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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