FORM 1023-EZ for MIDCOAST LAX INC

Field Data
EIN 85-3770470
Case Number EO-2020314-000099
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MIDCOAST LAX INC
Organization’s Mailing Address 477 COMMERCIAL STREET
City ROCKPORT
State ME
ZIP 04856
Accounting period End 12
Primary contact name CHAD CLOUTIER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHAD CLOUTIER
PRESIDENT
22 WELLINGTON DR
ROCKPORT ME 04856

Officer/Director/Trustee Two

WADE WARD
EXECUTIVE DIRECTOR
48 PEARL ST
CAMDEN ME 04843

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/16/2020
Organization Incorporation State ME
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 CHAD CLOUTIER
Signature Title PRESIDENT
Signature Date 11/5/2020

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