FORM 1023-EZ for PIONEER VALLEY MYCOLOGICAL ASSOCIATION INC

Field Data
EIN 82-4083697
Case Number EO-2018029-000385
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PIONEER VALLEY MYCOLOGICAL ASSOCIATION INC
Organization’s Mailing Address 441 KENNEDY RD
City LEEDS
State MA
ZIP 1053
Accounting period End 12
Primary contact name JOAN ADLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUE LANCELLE
PRESIDENT
621 N GULF RD
BELCHERTOWN MA 1007

Officer/Director/Trustee Two

MICHAEL OSTROWSKI
TREASURER
27 EAST ST
SOUTH HADLEY MA 1075

Officer/Director/Trustee Three

JOAN ADLER
SECRETARY
497 LAMPBLACK RD
GREENFIELD MA 1301

Officer/Director/Trustee Four

JESSICA BENSON EVANS
VICE PRES
85 BAKER RD
SHUTESBURY MA 1072

Officer/Director/Trustee Five

PHILIP HADLEY
DIRECTOR
14 COLUMBIA ST
WEST FIELD MA 1085

Organization’s website WWW.FUNGIKINGDOM.NET
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/19/17
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C60 - Environmental Education and Outdoor Survival Programs
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JOAN ADLER
Signature Title SECRETARY
Signature Date 1/25/18

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