FORM 1023-EZ for HOCKEY CARES INC

Field Data
EIN 82-2896046
Case Number EO-2017277-000205
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOCKEY CARES INC
Organization’s Mailing Address 110 SUTTON HILL ROAD
City NORTH ANDOVER
State MA
ZIP 01845
Accounting period End 12
Primary contact name RICK IACOBUCCI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID MCCARTHY
PRESIDENT AND DIRECTOR
110 SUTTON HILL ROAD
NORTH ANDOVER MA 01845

Officer/Director/Trustee Two

RICK MIDDLETON
TREASURER AND DIRECTOR
108 C MARY BATCHELDER RD
HAMPTON NH 03843

Officer/Director/Trustee Three

DENNIS SARNI
CLERK AND DIRECTOR
318 MAIN STREET
VINEYARD HAVEN MA 02568

Officer/Director/Trustee Four

DAVID JENSEN
VICE PRESIDENT AND DIRECTOR
65 CHERYL LANE
HOLLISTER MA 01746

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/23/2017
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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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