FORM 1023-EZ for AMUSA INC

Field Data
EIN 30-1068488
Case Number EO-2018239-000481
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AMUSA INC
Organization’s Mailing Address 400 N FRANKLIN ST
City HOLBROOK
State MA
ZIP 2343
Accounting period End 12
Primary contact name ANA SPENCER-PONTES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANA SPENCER-PONTES
PRESIDENT
400 N FRANKLIN ST
HOLBROOK MA 2343

Officer/Director/Trustee Two

LUIS MORAIS
VICE PRESIDENT
217 SPRING ST
BROCKTON MA 2301

Officer/Director/Trustee Three

PAULA PINA
SECRETARY
19 NEAL ST
BROCKTON MA 2301

Officer/Director/Trustee Four

ANTONINO SANTOS CORREIA
TREASURER
35 ARTHUR ST
BROCKTON MA 2302

Organization’s website
Organization’s email AMUSA17INC@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/26/18
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A70 - Humanities Organizations
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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 ANA SPENCER-PONTES
Signature Title PRESIDENT
Signature Date 8/23/18

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