FORM 1023-EZ for PAUL K FERNANDES FOUNDATION INC

Field Data
EIN 83-1200593
Case Number EO-2020031-000168
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PAUL K FERNANDES FOUNDATION INC
Organization’s Mailing Address 53 ARLINGTON ROAD
City WAREHAM
State MA
ZIP 02571
Accounting period End 12
Primary contact name SERGE O BECHADE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY FERNANDES
PRESIDENT / DIRECTOR
53 ARLINGTON ROAD
WAREHAM MA 02571

Officer/Director/Trustee Two

TREMAIN FERNANDES
TREASURER / DIRECTOR
32 CIDER MILL ROAD
FRAMINGHAM MA 01701

Officer/Director/Trustee Three

ROXANNE COLLINS
CLERK / DIRECTOR
149 JEROME STREET
W. MEDFORD MA 02155

Officer/Director/Trustee Four

CHRISTY ARNOLD
VICE PRESIDENT / DIRECTOR
10 BLUEBERRY HILL LANE
ASHLAND MA 07121

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/14/2020
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 MARY FERNANDES
Signature Title PRESIDENT / DIRECTOR
Signature Date 1/29/2020

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