FORM 1023-EZ for BUBBAS HOME FOUNDATION

Field Data
EIN 81-3623714
Case Number EO-2017144-000195
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BUBBAS HOME FOUNDATION
Organization’s Mailing Address PO BOX 38
City PELHAM
State NH
ZIP 03076
Accounting period End 7
Primary contact name ALFRED CARTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHERYL MERCIER
PRESIDENT
20 CHAGNON LANE
PELHAM NH 03076

Officer/Director/Trustee Two

ALFRED CARTER
VICE PRESIDENT
12 MOUNTAIN LAURELS DR 103
NASHUA NH 03062

Officer/Director/Trustee Three

DEBRA KENNEY
TREASURER
3 JEFFERSON AVE
PELHAM NH 03076

Officer/Director/Trustee Four

MARY LESSIEUR
SECRTARY
247 BROADWAY RD 32
DRACUT MA 01826

Organization’s website WWW.BUBBASHOMEFOUNDATION.ORG
Organization’s email BUBBASHOMEFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/16/2016
Organization Incorporation State NH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F22 - Alcohol, Drug Abuse, Treatment Only
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
Signature Title
Signature Date

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