FORM 1023-EZ for SHORT BOWEL SYNDROME FOUNDATION FORCHILDREN OF NEW ENGLAND INC

Field Data
EIN 81-4624015
Case Number EO-2016351-000364
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHORT BOWEL SYNDROME FOUNDATION FORCHILDREN OF NEW ENGLAND INC
Organization’s Mailing Address 260 LONSDALE AVENUE
City PAWTUCKET
State RI
ZIP 02860
Accounting period End 12
Primary contact name EDWARD G LAWSON JR ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICOLE WHITE
PRESIDENT
16 WINTON STREET
CRANSTON RI 02910

Officer/Director/Trustee Two

ANN ALFORD
VICE PRESIDENT
10 KING ARTHUR DRIVE NO 136
NIANTIC CT 06357

Officer/Director/Trustee Three

BRIANNA PAVLAK
DIRECTOR
224 ROBINWOOD DRIVE
DAYVILLE CT 06241

Officer/Director/Trustee Four

EDWARD LAWSON
DIRECTOR
260 LONSDALE AVENUE
PAWTUCKET RI 02860

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/9/2016
Organization Incorporation State RI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G80 - Specifically Named Diseases
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 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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