FORM 1023-EZ for WORCESTER ROLLER DERBY INC
| Field | Data |
|---|---|
| EIN | 45-3850181 |
| Case Number | EO-2019130-000038 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | WORCESTER ROLLER DERBY INC |
| Organization’s Mailing Address | 37 MARSH AVE |
| City | WORCESTER |
| State | MA |
| ZIP | 1605 |
| Accounting period End | 12 |
| Primary contact name | ANGELA WENDORF |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
AMY NELSON
PRESIDENT
37 MARSH AVE
WORCESTER MA 1605-2214
Officer/Director/Trustee Two
ANGELA WENDORF
VICE PRESIDENT
31 BUCKLEY RD
WORCESTER MA 1602-3209
Officer/Director/Trustee Three
ALLISON TAGGART
TREASURER
70 RIVERSIDE AVE
ATTLEBORO MA 2703-4924
Officer/Director/Trustee Four
JENNIFER COLE NEVILLE
SECRETARY
965 WASHINGTON ST
FRANKLIN MA 2038-3324
Officer/Director/Trustee Five
ALEXANDRIA KUCHINSKI
BOARD MEMBER AT LARGE
44 BUTEAU RD
SPENCER MA 1562-3134
| Organization’s website | WWW.WORCESTERROLLERDERBY.COM |
|---|---|
| Organization’s email | SKATE@WORCESTERROLLERDERBY.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/4/11 |
| Organization Incorporation State | MA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | N60 - Amateur Sports Clubs, Leagues, N.E.C. |
| Organization’s purpose | Charitable: Yes Religious: No Educational: No Scientific: No Literary: No Public Safety: No Amateur Sports: Yes 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 | ANGELA WENDORF |
| Signature Title | VICE PRESIDENT |
| Signature Date | 5/8/19 |
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