FORM 1023-EZ for MASSAGE AND BURN SCAR THERAPY CORPORATION

Field Data
EIN 61-1801812
Case Number EO-2018340-000494
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MASSAGE AND BURN SCAR THERAPY CORPORATION
Organization’s Mailing Address 9 ASHLEY RD
City SOUTBOROUGH
State MA
ZIP 1772
Accounting period End 9
Primary contact name JOHN WORCESTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHRYN PECK
PRESIDENT DIRECTOR
33 LAWRENCE ST
FRAMINGHAM MA 1702

Officer/Director/Trustee Two

DIANA TENNEY
DIRECTOR
114 BUTLER ST
NEW BEDFORD MA 2744

Officer/Director/Trustee Three

JOHN WORCESTER
TREASURER DIRECTOR
9 ASHLEY RD
SOUTHBOROUGH MA 1772

Officer/Director/Trustee Four

GAIL DOBINSKI
SECRETARY DIRECTOR
12 LIBRARY ST
FRAMINGHAM MA 1701

Officer/Director/Trustee Five

JERRY LAPIERRIERE
DIRECTOR
114 BULTER ST
NEW BEDFORD MA 2744

Organization’s website WWW.MABSTF.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/30/16
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JOHN WORCESTER
Signature Title TREASURER DIRECTOR
Signature Date 12/4/18

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