FORM 1023-EZ for INTERNITY

Field Data
EIN 47-2308118
Case Number EO-2014324-000349
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name INTERNITY
Organization’s Mailing Address 378 BACK BAY ROAD
City MILBRIDGE
State ME
ZIP 04658
Accounting period End 12
Primary contact name ALFRED DELMONT MOORE JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RUTH MOORE
CHAIRMAN OF BOARD
378 BACK BAY ROAD
MILBRIDGE ME 04658

Officer/Director/Trustee Two

JUDY BELL
MEDICAL DIRECTOR
21 GLEN DRIVE
HUDSON NH 03051

Officer/Director/Trustee Three

STEPHANIE GRANT
PROJECTS DIRECTOR
603 NORTHERN AVENUE
FARMINGDALE ME 04344

Officer/Director/Trustee Four

BRIAN LEWIS
LEGAL ADVISOR
643 WINSLOW AVENUE
ST. PAUL MN 55107

Officer/Director/Trustee Five

KELLY HOWARD MOORES
DISABILITIES DIRECTOR
283 SACARAP ROAD
COLUMBIA ME 04623

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/4/2014
Organization Incorporation State ME
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E01 - 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 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
Signature Title
Signature Date

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