FORM 1023-EZ for CLINI CASA
| Field | Data |
|---|---|
| EIN | 43-3343069 |
| Case Number | EO-2015244-000089 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | CLINI CASA |
| Organization’s Mailing Address | 8 ROBINWOOD AVE |
| City | JAMAICA PLAIN |
| State | MA |
| ZIP | 02130-2162 |
| Accounting period End | 12 |
| Primary contact name | DIANE CHASE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
AMBROSIO FLORES
PRESIDENT
27 DECATUR ST
CAMBRIDGE MA 02139-4001
Officer/Director/Trustee Two
DIANE CHASE
TREASURER
8 ROBINWOOD AVE
JAMAICA PLAIN MA 02130-2162
Officer/Director/Trustee Three
DIANE CHASE
CLERK
8 ROBINWOOD AVE
JAMAICA PLAIN MA 02130-2162
Officer/Director/Trustee Four
CATHARINE CHASE
BOARD MEMBER
25 BARROWS
BRUNSWICK ME 04011-3202
| Organization’s website | WWW.CLINICASA.ORG |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/26/1997 |
| Organization Incorporation State | MA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | S32 - Rural Development |
| 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 | Yes |
| 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 | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | |
| Signature Title | |
| Signature Date |
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