FORM 1023-EZ for NISSITISSIT MIDDLE SCHOOL PARENT TEACHER ORGANIZATION

Field Data
EIN 83-1557521
Case Number EO-2018240-000072
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NISSITISSIT MIDDLE SCHOOL PARENT TEACHER ORGANIZATION
Organization’s Mailing Address 33 CHACE AVENUE
City PEPPERELL
State MA
ZIP 1463
Accounting period End 7
Primary contact name MARIA D BREBNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARIA BREBNER
PRESIDENT
14 LOWELL ST
PEPPERELL MA 1463

Officer/Director/Trustee Two

MICHELE LACOURSE
VICE PRESIDENT
83 EAST ST
PEPPERELL MA 1463

Officer/Director/Trustee Three

CHRISTINE SWARTZ
TREASURER
16 MERRIMAC DR
PEPPERELL MA 1463

Officer/Director/Trustee Four

CHRISTIE NEWELL
SECRETARY
14 WEST MEADOW DR
WEST TOWNSEND MA 1474

Officer/Director/Trustee Five

NANCY MILLS
VOLUNTEER COORDINATOR
1 SUNCOOK DR
PEPPERELL MA 1463

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/8/18
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
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 MARIA BREBNER
Signature Title PRESIDENT
Signature Date 8/24/18

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