FORM 1023-EZ for SAMPSON FOREST HOMESTEAD INC
| Field | Data |
|---|---|
| EIN | 86-3114801 |
| Case Number | EO-2021116-000518 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | SAMPSON FOREST HOMESTEAD INC |
| Organization’s Mailing Address | 115 ELM STREET |
| City | KINGSTON |
| State | MA |
| ZIP | 02364 |
| Accounting period End | 12 |
| Primary contact name | STEPHEN CONNOLLY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
DARA CONNOLLY
PRESIDENT & DIRECTOR
115 ELM STREET
KINGSTON MA 02364
Officer/Director/Trustee Two
ANGELINA LINDSAY
TREASURER & DIRECTOR
38 HOMELAND DRIVE
MARSHFIELD MA 02050
Officer/Director/Trustee Three
CORRINE PELLAND
SECRETARY & DIRECTOR
450 OAK ST
BRIDGEWATER MA 02333
Officer/Director/Trustee Four
STEPHEN CONNOLLY
VP & DIRECTOR
115 ELM STREET
KINGSTON MA 02364
Officer/Director/Trustee Five
WILLIAM D ENTREMONT
DIRECTOR
122 OLD FORGE RD
SCITUATE MA 02066
| Organization’s website | SAMPSONFORESTHOMESTEAD.ORG |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/6/2021 |
| Organization Incorporation State | MA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | C36 - Forest Conservation |
| 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 | 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 | 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 | STEPHEN CONNOLLY |
| Signature Title | VP & DIRECTOR |
| Signature Date | 4/23/2021 |
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