FORM 1023-EZ for CEREBELLAR HYPOPLASIA ADVOCATES OFMAINE

Field Data
EIN 83-1685372
Case Number EO-2018257-000351
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CEREBELLAR HYPOPLASIA ADVOCATES OFMAINE
Organization’s Mailing Address 1196 STILLWATER AVENUE
City BANGOR
State ME
ZIP 4401-2618
Accounting period End 12
Primary contact name STEPHANIE FOURNIER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHANIE FOURNIER
PRESIDENT
1196 STILLWATER AVENUE
BANGOR ME 4401-2618

Officer/Director/Trustee Two

ALYSSA MCDANIELS
VICE PRESIDENT
3251 HEBRON RD
HENDERSONVILLE NC 28739

Officer/Director/Trustee Three

RICHARD FOURNIER
SECRETARY/TREASURER
1196 STILLWATER AVENUE
BANGOR ME 4401-2618

Organization’s website
Organization’s email CHAMPKITTIES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/29/18
Organization Incorporation State ME
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 STEPHANIE FOURNIER
Signature Title PRESIDENT
Signature Date 9/12/18
EIN 83-1685372
Case Number EO-2018257-000351
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CEREBELLAR HYPOPLASIA ADVOCATES OF MAINE
Organization’s Mailing Address 1196 STILLWATER AVENUE
City BANGOR
State ME
ZIP 4401-2618
Accounting period End 12
Primary contact name STEPHANIE FOURNIER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHANIE FOURNIER
PRESIDENT
1196 STILLWATER AVENUE
BANGOR ME 4401-2618

Officer/Director/Trustee Two

ALYSSA MCDANIELS
VICE PRESIDENT
3251 HEBRON RD
HENDERSONVILLE NC 28739

Officer/Director/Trustee Three

RICHARD FOURNIER
SECRETARY/TREASURER
1196 STILLWATER AVENUE
BANGOR ME 4401-2618

Organization’s website
Organization’s email CHAMPKITTIES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/29/18
Organization Incorporation State ME
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 STEPHANIE FOURNIER
Signature Title PRESIDENT
Signature Date 9/12/18

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