FORM 1023-EZ for HOLDEN ROAD RACE

Field Data
EIN 83-3847905
Case Number EO-2019067-000505
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOLDEN ROAD RACE
Organization’s Mailing Address 34 FREDERICKSON AVE
City HOLDEN
State MA
ZIP 1520
Accounting period End 12
Primary contact name ANGELA ROGERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANGELA ROGERS
PRESIDENT
34 FREDERICKSON AVE
HOLDEN MA 1520

Officer/Director/Trustee Two

DARLENE LAYTON
VICE PRESIDENT
188 COOK STREET
HOLDEN MA 1520

Officer/Director/Trustee Three

FRANCIS OLSON
TREASURER & SECRETARY
25 SANDY GLEN DRIVE
HOLDEN MA 1520

Officer/Director/Trustee Four

CHRIS SPRING
ADVISOR
28 SYCAMORE DRIVE
HOLDEN MA 1520

Officer/Director/Trustee Five

MICHAEL BARBERA
ADVISOR
2 TERRACE DRIVE
WORCESTER MA 1609

Organization’s website HTTPS://RACEROSTER.COM/EVENTS/2018/18331/2018-HOLDEN-5K-ROAD-RACE
Organization’s email HOLDENROADRACE@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/19
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
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 ANGELA ROGERS
Signature Title PRESIDENT
Signature Date 3/6/19

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