FORM 1023-EZ for I BELIEVE IN ME INC

Field Data
EIN 46-4401491
Case Number EO-2015008-000178
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name I BELIEVE IN ME INC
Organization’s Mailing Address 42 SESAME STREET
City KEENE
State NH
ZIP 03431
Accounting period End 12
Primary contact name KARIN WILLSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KARIN WILLSON
PRESIDENT
42 SESAME STREET
KEENE NH 03431

Officer/Director/Trustee Two

MARY SHEPARDSON
VICE PRESIDENT
42 SULLIVAN STREET
KEENE NH 03431

Officer/Director/Trustee Three

VINCENT BRADLEY
TREASURER
LIBERTY LANE
KEENE NH 03431

Officer/Director/Trustee Four

DENISE NEATHAWK
SECRETARY
136 OAK STREET
ROLLINSFORD NH 03869

Organization’s website
Organization’s email IBELIEVEINME2014@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/23/2014
Organization Incorporation State NH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 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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