FORM 1023-EZ for BROCKTON BRUISERS ROLLER DERBY INC
| Field | Data |
|---|---|
| EIN | 84-4159760 |
| Case Number | EO-2020008-000290 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BROCKTON BRUISERS ROLLER DERBY INC |
| Organization’s Mailing Address | 85 TILTON AVENUE |
| City | BROCKTON |
| State | MA |
| ZIP | 02301-3029 |
| Accounting period End | 12 |
| Primary contact name | DEBORAH PETERSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
DEBORAH PETERSON
PRESIDENT
85 TILTON AVENUE
BROCKTON MA 02301-3029
Officer/Director/Trustee Two
SALENA MCALARNEY
VICE PRESIDENT
55 WHITMORE STREET
BROCKTON MA 02301
Officer/Director/Trustee Three
STEPHANIE MCCORMICK
TREASURER
40 HUDSON STREET
HALIFAX MA 02338
Officer/Director/Trustee Four
JODI DION
SECRETARY
35 CARLISLE ROAD
DEDHAM MA 02026
Officer/Director/Trustee Five
DEBORAH PETERSON
DIRECTOR
85 TILTON AVENUE
BROCKTON MA 02301-3029
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/9/2019 |
| Organization Incorporation State | MA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | N99 - Recreation, Sports, Leisure, Athletics N.E.C. |
| Organization’s purpose | Charitable: No 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 | DEBORAH PETERSON |
| Signature Title | DIRECTOR |
| Signature Date | 1/6/2020 |
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