FORM 1023-EZ for LEBANON MOMENTUM NETWORK

Field Data
EIN 86-3126519
Case Number EO-2021118-000147
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LEBANON MOMENTUM NETWORK
Organization’s Mailing Address 57 OLD RYE FIELD RD
City LEBANON
State ME
ZIP 04027
Accounting period End 12
Primary contact name JAMES DUPRIE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBORAH WILSON
CHAIR
25 BIGELOW RD
LEBANON ME 04027

Officer/Director/Trustee Two

JAMES DUPRIE
TREASURER
57 OLD RYEFIELD RD
LEBANON ME 04027

Officer/Director/Trustee Three

BRIAN WOLFINGER
MEMBER AT LARGE
91 NEW BRIDGE RD
LEBANON ME 04027

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/25/2021
Organization Incorporation State ME
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
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 JAMES DUPRIE
Signature Title TREASURER
Signature Date 4/26/2021

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