FORM 1023-EZ for PERCVIAL EVERETT INTERNATIONAL SOCIETY

Field Data
EIN 81-2678822
Case Number EO-2016144-000160
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PERCVIAL EVERETT INTERNATIONAL SOCIETY
Organization’s Mailing Address 61 WILDER STREET
City LOWELL
State MA
ZIP 01854
Accounting period End 4
Primary contact name KEITH B MITCHELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANTHONY STEWART
PRESIDENT
131 WEST MARKET STREET
LEWISBURG PA 17837

Officer/Director/Trustee Two

ANNE TISSUT
VICE PRESIDENT
61 WILDER STREET
LOWELL MA 01854

Officer/Director/Trustee Three

KEITH MITCHELL
SECRETARY-TREASURER
399 WALKER STREET APARTMENT 10
LOWELL MA 01851

Officer/Director/Trustee Four

JOSEPH WEIXLMANN
MEMBER-EMERITUS
6344 WYDON BOULEVARD
CLAYTON MO 63105

Organization’s website PERCIVALEVERETTSOCIETY.COM
Organization’s email CALEVERS1956@UML.EDU
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/2/2016
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A03 - Professional Societies, Associations
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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