FORM 1023-EZ for MERRIMACK COMMUNITY ROBOTICS BOOSTERS

Field Data
EIN 83-1711772
Case Number EO-2019277-000556
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MERRIMACK COMMUNITY ROBOTICS BOOSTERS
Organization’s Mailing Address PO BOX 563
City MERRIMACK
State NH
ZIP 3054-563
Accounting period End 6
Primary contact name CHRISTOPHER B PETROVIC
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIEL DIAZ
PRESIDENT
67 SENTRY WAY
MERRIMACK NH 3054

Officer/Director/Trustee Two

WILLIAM CANTWELL
TREASURER
4 GAGE LANE
MERRIMACK NH 3054

Officer/Director/Trustee Three

MATTHEW GAGE
CHAIR - BOARD OF DIRECTORS
7 BEEBE LANE
MERRIMACK NH 3054

Officer/Director/Trustee Four

ADAM GOODMAN
SECRETARY/CLERK
19 COURTLAND DRIVE
MERRIMACK NH 3054

Officer/Director/Trustee Five

NICK BOURESSA
VICE-PRESIDENT
18 ERIK STREET
MERRIMACK NH 3054

Organization’s website
Organization’s email MCRB.563@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/4/19
Organization Incorporation State NH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B25 - Secondary, High School
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 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 DANIEL DIAZ
Signature Title PRESIDENT
Signature Date 10/1/19

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