FORM 1023-EZ for HIV LIFE PROJECT OF WESTERN MASS INC

Field Data
EIN 82-3164482
Case Number EO-2017298-000420
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HIV LIFE PROJECT OF WESTERN MASS INC
Organization’s Mailing Address 235 STATE STREET UNIT 302
City SPRINGFIELD
State MA
ZIP 01103
Accounting period End 1
Primary contact name PAULO SALVADOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAULO SALVADOR
PRESIDENT
109 GRAPE STREET APT H
CHICOPEE MA 01013

Officer/Director/Trustee Two

MICHAEL ROSA
VICE PRESIDENT
93 PINE STREET APT 1L
SPRINGFIELD MA 01105

Officer/Director/Trustee Three

GEOVANI SANCHEZ
TREASURER
5 TEMPLE STREET UNIT 502
SPRINGFIELD MA 01105

Organization’s website WWW.PROJECTLIFEOFHOLYOKE.ORG
Organization’s email LIVEINSPIREFURTHEREDUCATE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/29/2017
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G81 - AIDS
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 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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