FORM 1023-EZ for DUXBURY ROBOTICS BOOSTERS INC

Field Data
EIN 82-1670463
Case Number EO-2017150-000401
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DUXBURY ROBOTICS BOOSTERS INC
Organization’s Mailing Address PO BOX 191A
City DUXBURY
State MA
ZIP 02331
Accounting period End 5
Primary contact name MICHELLE RUSSO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELIZABETH CAMPBELL
CLERK
183 VINE STREET
DUXBURY MA 02332

Officer/Director/Trustee Two

DAVID PRICE
TREASURER
41 GIFFORD WAY
DUXBURY MA 02332

Officer/Director/Trustee Three

MICHELLE RUSSO
PRESIDENT
35 SIMMONS DRIVE
DUXBURY MA 02332

Officer/Director/Trustee Four

BARBARA SIEGENER
DIRECTOR
99 BAYRIDGE LANE
DUXBURY MA 02332

Officer/Director/Trustee Five

JOSEPH LANZA
DIRECTOR
511 BAY ROAD
DUXBURY MA 02332

Organization’s website
Organization’s email DUXBURYROBOTICS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/16/2017
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
Organization’s purpose Charitable: No
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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