FORM 1023-EZ for UPPER DAM POND CONSERVATION ASSOCIATION

Field Data
EIN 85-2656560
Case Number EO-2021089-000272
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UPPER DAM POND CONSERVATION ASSOCIATION
Organization’s Mailing Address 27 BREEZY LAKE DRIVE
City COVENTRY
State RI
ZIP 02816
Accounting period End 12
Primary contact name DONALD J ANTONELLI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DONALD ANTONELLI
PRESIDENT
27 BREEZY LAKE DRIVE
COVENTRY RI 02816

Officer/Director/Trustee Two

THOMAS PENDERGAST
1ST VICE PRESIDENT
6 WHITEROCK RD
COVENTRY RI 02816

Officer/Director/Trustee Three

JASON SWEET
2 ND VICE PRESIDENT
37 BREEZY LAKE DR
COVENTRY RI 02816

Officer/Director/Trustee Four

LORI-JEAN SMITH
SECRETARY
14 POND VIEW DR
COVENTRY RI 02816

Officer/Director/Trustee Five

GEMMA RICCIO
TREASURER
27 BREEZY LAKE DRIVE
COVENTRY RI 02816

Organization’s website
Organization’s email GRICCIO@RIC.EDU
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/17/2020
Organization Incorporation State RI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C30 - Natural Resources Conservation and Protection
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 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 DONALD ANTONELLI
Signature Title PRESIDENT
Signature Date 2/9/2021

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