FORM 1023-EZ for FARM HOUSE AT BALSAM HILL INC

Field Data
EIN 81-1490308
Case Number EO-2019161-000587
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FARM HOUSE AT BALSAM HILL INC
Organization’s Mailing Address 226 HEWINS STREET
City SHEFFIELD
State MA
ZIP 1257
Accounting period End 12
Primary contact name GAIL MULLEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GAIL MULLEN
PRESIDENT
226 HEWINS STREET
SHEFFIELD MA 1257

Officer/Director/Trustee Two

JOHN GREENE
TREASURER
21 INTERLAKEN ROAD
STOCKBRIDGE MA 1266

Officer/Director/Trustee Three

GAIL MULLEN
CLERK
226 HEWINS STREET
SHEFFIELD MA 1257

Officer/Director/Trustee Four

GAIL MULLEN
DIRECTOR
226 HEWINS STREET
SHEFFIELD MA 1257

Officer/Director/Trustee Five

JOHN GREENE
DIRECTOR
21 INTERLAKEN ROAD
STOCKBRIDGE MA 1266

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/29/16
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name GAIL MULLEN
Signature Title DIRECTOR
Signature Date 6/8/19

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