FORM 1023-EZ for CCA PARTNERS INC

Field Data
EIN 47-5374731
Case Number EO-2015296-000309
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CCA PARTNERS INC
Organization’s Mailing Address 1A NORTH ROAD
City CHELMSFORD
State MA
ZIP 01824
Accounting period End 6
Primary contact name KATHERINE C HARBISON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KATHERINE HARBISON
PRESIDENT
3 THOREAU AVE
CHELMSFORD MA 01824-1269

Officer/Director/Trustee Two

TAYLOR GYS
TREASURER
50 TOWER FARM ROAD
BILLERICA MA 01821

Officer/Director/Trustee Three

CHARLES NEEDLES
VICE PRESIDENT
16 HITCHINPOST RD
CHELMSFORD MA 01824

Officer/Director/Trustee Four

BARBARA REILLY
CLERK
16 SPAULDING ROAD
CHELMSFORD MA 01824

Officer/Director/Trustee Five

JANET DUBNER
DIRECTOR
46 DALTON ROAD
CHELMSFORD MA 01824

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/17/2013
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A11 - Single Organization Support
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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