FORM 1023-EZ for MOMS OF MARIEVILLE

Field Data
EIN 84-2771487
Case Number EO-2019233-000277
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOMS OF MARIEVILLE
Organization’s Mailing Address 23 COOPER ST
City NORTH PROVIDENCE
State RI
ZIP 2904
Accounting period End 12
Primary contact name CHARLENE SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLENE SMITH
DIRECTOR
23 COOPER ST
NORTH PROVIDENCE RI 2904

Officer/Director/Trustee Two

MELISSA SAMPAIO
DIRECTOR
40 VIVIAN AVE
NORTH PROVIDENCE RI 2904

Officer/Director/Trustee Three

LYNN MARTINS
DIRECTOR
620 STEERE FARM RD
HARRISVILLE RI 2830

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/19/19
Organization Incorporation State RI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S22 - Neighborhood, Block Associations
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CHARLENE SMITH
Signature Title DIRECTOR
Signature Date 8/19/19

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