FORM 1023-EZ for NORTH ATLANTIC CHAPTER OF SOCIETY OF ENVIRONMENTAL TOXICOLOGY AND CHEM

Field Data
EIN 47-5069006
Case Number EO-2015261-000267
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTH ATLANTIC CHAPTER OF SOCIETY OF ENVIRONMENTAL TOXICOLOGY AND CHEM
Organization’s Mailing Address 11 JUNIPER DRIVE
City AMHERST
State NH
ZIP 03031
Accounting period End 6
Primary contact name DION LEWIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

EMILY MONOSSON
PRESIDENT, DIRECTOR
PO BOX 329
MONTAGUE MA 01351-0329

Officer/Director/Trustee Two

DION LEWIS
TREASURER, DIRECTOR
11 JUNIPER DRIVE
AMHERST NH 03031

Officer/Director/Trustee Three

DEENA SMALL
PAST PRESIDENT, DIRECTOR
U OF NEW ENGLAND 11 HILLS BEACH RD
BIDDEFORD ME 04005

Officer/Director/Trustee Four

TIM VERSLYCKE
PAST PRESIDENT, DIRECTOR
GRADIENT CORP 20 UNIVERSITY ROAD
CAMBRIDGE MA 02138

Officer/Director/Trustee Five

DORANNE HOROWITZ
SECRETARY, DIRECTOR
USEPA 27 TARZWELL DRIVE
NARRAGANSETT RI 02882

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/25/2015
Organization Incorporation State NH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: Yes
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
Signature Title
Signature Date

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