FORM 1023-EZ for PBCC SCHOLARS FOUNDATION INC

Field Data
EIN 83-3900492
Case Number EO-2019092-000024
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PBCC SCHOLARS FOUNDATION INC
Organization’s Mailing Address 42 NEWTON STREET
City WESTON
State MA
ZIP 2493
Accounting period End 12
Primary contact name TRACEY BOLOTNICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TODD FINARD
CHAIR
11 TAMARACK ROAD
WESTON MA 2493

Officer/Director/Trustee Two

KELLY SEGAL
VICE CHAIR
11 STURBRIDGE ROAD
WELLESLEY MA 2481

Officer/Director/Trustee Three

JEFF MITTLEMAN
TREASURER AND DIRECTOR
34 CARLETON DRIVE
NEEDHAM MA 2492

Officer/Director/Trustee Four

JEFF BARON
DIRECTOR
153 WOODRIDGE ROAD
WAYLAND MA 1778

Officer/Director/Trustee Five

DAVINA LEWIS
CLERK AND DIRECTOR
36 ROBIN ROAD
WESTON MA 2493

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/8/19
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 No
Donation of funds Yes
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 JEFF BARON
Signature Title DIRECTOR
Signature Date 3/28/19

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