FORM 1023-EZ for FORGET ME NOT ALZHEIMERS INC

Field Data
EIN 82-4132119
Case Number EO-2018064-000430
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FORGET ME NOT ALZHEIMERS INC
Organization’s Mailing Address 99 RODMAN STREET
City FALL RIVER
State MA
ZIP 2721
Accounting period End 12
Primary contact name LIBERAL MIRANDA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LIBERAL MIRANDA
PRESIDENT DIRECTOR
297 BELMONT STREET
FALL RIVER MA 2720

Officer/Director/Trustee Two

NATALIA LARSON
TREASURER DIRECTOR
10 ASHLEY LANE
ACHUSNET MA 2743

Officer/Director/Trustee Three

BERNADETTE SIMOES-VARAO
CLERK DIRECTOR
42 DETROIT STREET
FALL RIVER MA 2721

Officer/Director/Trustee Four

ERIK AMARAL
DIRECTOR
27 KEENE STREET
FALL RIVER MA 2723

Officer/Director/Trustee Five

STACY COSTA
DIRECTOR
109 SANFORD ROAD
WESTPORT MA 2790

Organization’s website N/A
Organization’s email FORGETMENOTALZHEIMERS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/23/18
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G83 - Alzheimer's Disease
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LIBERAL MIRANDA
Signature Title PRESIDENT DIRECTOR
Signature Date 3/2/18

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