FORM 1023-EZ for KENNEBEC VALLEY HUMAN RESOURCES ASSOCIATION

Field Data
EIN 80-0122324
Case Number EO-2015203-000210
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KENNEBEC VALLEY HUMAN RESOURCES ASSOCIATION
Organization’s Mailing Address PO BOX 1455
City WATERVILLE
State ME
ZIP 04903-1455
Accounting period End 12
Primary contact name SUSAN W OUELLETTE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SUSAN OUELLETTE
PRESIDENT
PO BOX 116
PITTSFIELD ME 04967-0116

Officer/Director/Trustee Two

LILA HALLOWELL
TREASURER
14 MORGAN STREET
WATERVILLE ME 04901

Officer/Director/Trustee Three

JEANINE LIBBY
SECRETARY
654 ABBOTT ROAD
WINSLOW ME 04901

Officer/Director/Trustee Four

LISA MADORE
PAST PRESIDENT
114 VALLEY STREET
PORTLAND ME 04102

Officer/Director/Trustee Five

KRISTY GOULD
PRESIDENT ELECT
16 CONY STREET
AUGUSTA ME 04330

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/16/2014
Organization Incorporation State ME
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
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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