FORM 1023-EZ for MY SCIENCE CLASSROOM INC

Field Data
EIN 45-5308395
Case Number EO-2015341-000408
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MY SCIENCE CLASSROOM INC
Organization’s Mailing Address 1550 WORCESTER ROAD - 422W
City FRAMINGHAM
State MA
ZIP 01702
Accounting period End 12
Primary contact name TRACEY J BOLOTNICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CINDY RUBIN
PRESIDENT AND DIRECTOR
1550 WORCESTER ROAD
FRAMINGHAM MA 01702

Officer/Director/Trustee Two

RACHEL NICOLL
CLERK AND DIRECTOR
14 UNDERWOOD PK - NO 2
WALTHAM MA 02453

Officer/Director/Trustee Three

EILEEN ENGELMAN
TREASURER AND DIRECTOR
4 BRIDLE PATH
FRANKLIN MA 02038

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/14/2012
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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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