FORM 1023-EZ for JOSEPH F HEALEY MEMORIAL

Field Data
EIN 32-0346873
Case Number EO-2014311-000394
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JOSEPH F HEALEY MEMORIAL
Organization’s Mailing Address 3 HOWARD RD
City EAST HAMPSTEAD
State NH
ZIP 03826
Accounting period End 6
Primary contact name PETER DOHERTY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PETER DOHERTY
PRESIDENT
3 HOWARD RD
EAST HAMPSTEAD NH 03826

Officer/Director/Trustee Two

KEVIN MURPHY
VICE PRESIDENT
122 FREEMONT ST
HAVERHILL MA 01832

Officer/Director/Trustee Three

KIM BASS
TREASURER
22 SOUTH BROADWAY
SALEM NH 03079

Officer/Director/Trustee Four

STEVE FOURNIER
SECRETARY
8 WASHINGTON RD
WINDHAM NH 03087

Officer/Director/Trustee Five

SEAN CHIPMAN
OFFICER
6 OVERLOOK DR
ATKINSON NH 03811

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/29/2011
Organization Incorporation State NH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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