FORM 1023-EZ for CALM PASSION INC

Field Data
EIN 81-3124934
Case Number EO-2016190-000309
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CALM PASSION INC
Organization’s Mailing Address 65 SCHOOL ST
City WINCHENDON
State MA
ZIP 01475
Accounting period End 12
Primary contact name ADAM WILSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ADAM WILSON
PRESIDENT
65 SCHOOL ST
WINCHENDON MA 01475

Officer/Director/Trustee Two

TRAVIS JARRETT
TREASURER
66 CARLISLE RD
WESTFORD MA 01886

Officer/Director/Trustee Three

KATHERINE HUMBER
SECRETARY
19 MOUNT VIEW DR
CLINTON MA 01510

Officer/Director/Trustee Four

LEN BRASSARD
DIRECTOR
68 AIRPORT RD
FITCHBURG MA 01420

Officer/Director/Trustee Five

MELISSA PALMER
DIRECTOR
22 TRESSLER LN
CMCH NJ 08210

Organization’s website WWW.CALMPASSION.ORG
Organization’s email ADAM@CALMPASSION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/7/2016
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G84 - Autism
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 Yes
Donation of funds Yes
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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