FORM 1023-EZ for IVY CHILD INTERNATIONAL INC

Field Data
EIN 27-4835424
Case Number EO-2016193-000276
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name IVY CHILD INTERNATIONAL INC
Organization’s Mailing Address 79 HILLCREST ROAD
City CONCORD
State MA
ZIP 01742
Accounting period End 6
Primary contact name ROSE PAVLOV
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GEORGE MUMFORD
PRESIDENT
46 WHITE PINE ROAD
NEWTON UPPER FALLS MA 02464

Officer/Director/Trustee Two

THOMAS FELIX
VICE-PRESIDENT
616 M STREET NE
WASHINGTON DC 20002

Officer/Director/Trustee Three

LISA WONG
TREASURER
50 FITCH HILL AVE
FITCHBURG MA 01420

Officer/Director/Trustee Four

JOEROSE THARAKAN
DIRECTOR
2524A SIDNEY STREET
PITTSBURGH PA 15203

Officer/Director/Trustee Five

ROSE PAVLOV
DIRECTOR
3802 KNIGHTSBRIDGE CLOSE
Worcester MA 01609

Organization’s website WWW.IVYCHILD.ORG
Organization’s email INFO@IVYCHILD.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/21/2011
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 Yes
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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