FORM 1023-EZ for PEPPERELL COMMUNITY ARTS

Field Data
EIN 82-3828182
Case Number EO-2018064-000086
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PEPPERELL COMMUNITY ARTS
Organization’s Mailing Address 1 BLUE HERONS WAY
City PEPPERELL
State MA
ZIP 1463-1177
Accounting period End 12
Primary contact name STACEY THOMPSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STACEY THOMPSON
PRESIDENT
1 BLUE HERONS WAY
PEPPERELL MA 1463-1177

Officer/Director/Trustee Two

ROBERT RAINS
TREASURER
8 LAWRENCE DR
GROTON MA 1450-1137

Officer/Director/Trustee Three

STEVEN TEMPLE
SECRETARY
91A HARBOR ST
PEPPERELL MA 1463-1261

Organization’s website HTTPS://WWW.PEPPERELLCOMMUNITYARTS.ORG/
Organization’s email PEPPERELLARTS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/2/18
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name STACEY THOMPSON
Signature Title EXECUTIVE DIRECTOR, PRESIDENT
Signature Date 3/1/18

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