FORM 1023-EZ for FRIENDS OF MEDFIELD WARRIORS LACROSSE INC

Field Data
EIN 20-5809064
Case Number EO-2014336-000434
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS OF MEDFIELD WARRIORS LACROSSE INC
Organization’s Mailing Address 42 CURVE ST
City MEDFIELD
State MA
ZIP 02052
Accounting period End 12
Primary contact name ROBERT TREIBER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NEWTON THOMPSON
PRESIDENT
5 EVERGREEN WAY
MEDFIELD MA 02052

Officer/Director/Trustee Two

ELIZABETH HURLEY
TREASURER
50 ADAMS ST
MEDFIELD MA 02052

Officer/Director/Trustee Three

ROBERT TREIBER
ASSISTANT CLERK
42 CURVE ST
MEDFIELD MA 02052

Officer/Director/Trustee Four

CONRAD BLETZER
CLERK
300 MARKET ST
BRIGHTON MA 00000

Officer/Director/Trustee Five

CYNTHIA FOSTER
DIRECTOR
4 GRIST MILL RD
MEDFIELD MA 02052

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/20/2006
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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