FORM 1023-EZ for CAPE ANN COMMUNITY CHIROPRACTIC

Field Data
EIN 82-4854617
Case Number EO-2018095-000578
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CAPE ANN COMMUNITY CHIROPRACTIC
Organization’s Mailing Address 95 CHERRY STREET
City GLOUCESTER
State MA
ZIP 1930-1755
Accounting period End 12
Primary contact name ERIN OMALEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIN OMALEY
PRESIDENT
95 CHERRY STREET
GLOUCESTER MA 1930-1755

Officer/Director/Trustee Two

ARI GROSVENOR
CLERK
13 LOVETT STREET
BEVERLY MA 1915-5147

Officer/Director/Trustee Three

AMY GUNNESS
TREASURER
9 LAKEVIEW CIRCLE
SUTTON MA 1590-2720

Organization’s website WWW.OMALEYDC.WIXSITE.COM/CACC
Organization’s email ERIN.OMALEY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/15/16
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 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 ERIN OMALEY
Signature Title PRESIDENT
Signature Date 3/22/18

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