FORM 1023-EZ for BARTLET BROTHERS FOUNDATION INC

Field Data
EIN 81-2795825
Case Number EO-2016215-000122
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BARTLET BROTHERS FOUNDATION INC
Organization’s Mailing Address 17 MT VERNON STREET APT 3
City CHARLESTOWN
State MA
ZIP 02129-3410
Accounting period End 12
Primary contact name MICHAEL CIUMMEI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL CIUMMEI
PRESIDENT
17 MT VERNON STREET APT 3
CHARLESTOWN MA 02129-3410

Officer/Director/Trustee Two

JAMES ROCKAS
DIRECTOR/CHAIRPERSON
10 MIRABEAU LANE
LYNNFIELD MA 01940-1123

Officer/Director/Trustee Three

JOSEPH SANTANIELLO
TREASURER
500 BEDFORD STREET APT 449
STAMFORD MA 06901-1525

Officer/Director/Trustee Four

SHAUN STUER
CLERK
323 COMMONWEALTH AVE APT 6
BOSTON MA 02115-1911

Officer/Director/Trustee Five

MICHAEL PALERMO
DIRECTOR
16 SWAN LANE
ANDOVER MA 01810-2844

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/25/2016
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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