FORM 1023-EZ for MASSACHUSETTS SPECIAL CARE AND ASSOCIATION

Field Data
EIN 83-0942782
Case Number EO-2018204-000410
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MASSACHUSETTS SPECIAL CARE AND ASSOCIATION
Organization’s Mailing Address 8 HIAWATHA TRAIL
City HOLLISTON
State MA
ZIP 1746
Accounting period End 12
Primary contact name JULIUS TABE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JULIUS TABE
SECRETARY
8 HIAWATHA TRAIL
HOLLISTON MA 1746

Officer/Director/Trustee Two

ROSELINE TABE
EXECUTIVE DIRECTOR
8 HIAWATHA TRAIL
HOLLISTON MA 1746

Officer/Director/Trustee Three

GEORGE KIONGERA
BOARD MEMBER
439 S UNION ST UNIT 107
LAWRENCE MA 1843

Officer/Director/Trustee Four

NICKOLAS QUALSHIE
BOARD MEMBER
410 EMMETT ST UNIT 82
BRISTOL CT 6010

Officer/Director/Trustee Five

NICKOLAS SOUMELIDIS
BOARD MEMBER
2832 VINTAGER VIEW LOOP
LAKELAND FL 33812

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/28/18
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F33 - Group Home, Residential Treatment Facility - Mental Health Related
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 JULIUS TABE
Signature Title SECRETARY
Signature Date 7/20/18

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