FORM 1023-EZ for MONUMENT MOUNTAIN REGIONAL HIGH SCHOOL ALUMNI ASSOCIATION

Field Data
EIN 45-5351853
Case Number EO-2015240-000346
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MONUMENT MOUNTAIN REGIONAL HIGH SCHOOL ALUMNI ASSOCIATION
Organization’s Mailing Address 359 N PLAIN RD
City HOUSATONIC
State MA
ZIP 01236-9741
Accounting period End 12
Primary contact name ANN GROCHMAL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANN GROCHMAL
DIRECTOR, CLERK, VICE PRESIDENT
359 NORTH PLAIN RD
HOUSATONIC MA 01236

Officer/Director/Trustee Two

KATHLEEN KOTLESKI
DIRECTOR, PRESIDENT
POB 88
HOUSATONIC MA 01236

Officer/Director/Trustee Three

JAMIE MOORE
DIRECTOR, TREASURER
10 SPRUCE ST
GREAT BARRINGTON MA 01230

Officer/Director/Trustee Four

JOSEPH KELLOGG
DIRECTOR
29 WEST HUBBARD RD
SANDISFIELD MA 01255

Organization’s website MMRHSAA.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/23/2012
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B84 - Alumni Associations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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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