FORM 1023-EZ for GENDER IDENTITY VALIDATION SERVICESINCORPORATED

Field Data
EIN 84-2589286
Case Number EO-2019302-000197
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GENDER IDENTITY VALIDATION SERVICESINCORPORATED
Organization’s Mailing Address 76 GOTHIC STREET
City NORTHAMPTON
State MA
ZIP 1060
Accounting period End 12
Primary contact name ANDREW BOURKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLAUDIA CUMES
PRESIDENT
200 CRESCENT STREET
NORTHAMPTON MA 1060

Officer/Director/Trustee Two

ANDREW BOURKE
TREASURER
17 HUBBARD AVE
NORTHAMPTON MA 1060

Officer/Director/Trustee Three

ERICA CARLSON
CLERK
11 JONATHAN JUDD CIRCLE
SOUTHAMPTON MA 1073

Officer/Director/Trustee Four

JENESSA CINTRON
DIRECTOR
63 GOLDEN DRIVE
FLORENCE MA 1062

Officer/Director/Trustee Five

RYAN KOKOSKI
DIRECTOR
358 RIVER DRIVE
HADLEY MA 1035

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/27/19
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
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 CLAUDIA CUMES
Signature Title PRESIDENT
Signature Date 10/27/19

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