FORM 1023-EZ for RHODE ISLAND SLAVE HISTORY MEDALLIONS
| Field | Data |
|---|---|
| EIN | 84-4230962 |
| Case Number | EO-2020311-000076 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | RHODE ISLAND SLAVE HISTORY MEDALLIONS |
| Organization’s Mailing Address | 98 KAY STREET |
| City | NEWPORT |
| State | RI |
| ZIP | 02840 |
| Accounting period End | 12 |
| Primary contact name | PATRICK BURNS 401-845-8742-BANK NPT |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
CHARLES ROBERTS
EXECUTIVE DIRECTOR
98 KAY STREET
NEWPORT RI 02840
Officer/Director/Trustee Two
DICK POHOLEK
TRESURER
213 ROLLING HILL RD
PORTSMOUTH RI 02871
Officer/Director/Trustee Three
MARAGRAET BAKER
SECRETARY
98 KAY STREET
NEWPORT RI 02840
Officer/Director/Trustee Four
NAN HEROUX
FUND RAISING COMMITTEE
51 BAY RIDGE DRIVE
MIDDLETOWN RI 02842
Officer/Director/Trustee Five
ELAINE WILLIAMS
FUND RAISING COMMITTEE
67 KAY STREET
NEWPORT RI 02840
| Organization’s website | WWW.RISHM.ORG |
|---|---|
| Organization’s email | CHARLESROBERTS75@ICLOUD.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/22/2019 |
| Organization Incorporation State | RI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | A23 - Cultural, Ethnic Awareness |
| 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 | Yes |
| 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 | CHARLES ROBERTS |
| Signature Title | EXECUTIVE DIRECTOR |
| Signature Date | 11/3/2020 |
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