FORM 1023-EZ for CAPE ANN SPECIAL NEEDS ASSISTANCE PROGRAM INC

Field Data
EIN 81-2331289
Case Number EO-2017138-000344
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAPE ANN SPECIAL NEEDS ASSISTANCE PROGRAM INC
Organization’s Mailing Address 16 MASON STREET
City GLOUCESTER
State MA
ZIP 01930
Accounting period End 12
Primary contact name ELERY LEBLANC
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS HINES
PRESIDENT DIRECTOR
16 MASON STREET
GLOUCESTER MA 01930

Officer/Director/Trustee Two

ELERY LEBLANC
TREASURER DIRECTOR
54 OLD NUGENT FARM ROAD
GLOUCESTER MA 01930

Officer/Director/Trustee Three

PENNY WARREN
SECRETARY DIRECTOR
54 0LD NUGENT FARM ROAD
GLOUCESTER MA 01930

Officer/Director/Trustee Four

KATHLEEN VERGA
DIRECTOR
4 CONCORD STREET
GLOUCESTER MA 01930

Organization’s website CAPEANNSNAP.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/21/2016
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P82 - Developmentally Disabled Centers, Services
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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