FORM 1023-EZ for FALL MOUNTAIN REGIONAL HIGH SCHOOLALUMNI ASSOCIATION

Field Data
EIN 84-4872914
Case Number EO-2020098-000237
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FALL MOUNTAIN REGIONAL HIGH SCHOOLALUMNI ASSOCIATION
Organization’s Mailing Address 243 GILSUM STREET
City KEENE
State NH
ZIP 03431
Accounting period End 12
Primary contact name EARL GOCHEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EARL GOCHEY
DIRECTOR
5962 CHALET DRIVE NORTH
MOBILE AL 36608

Officer/Director/Trustee Two

MICHAEL KOLODZIEJ
DIRECTOR
243 GILSUM STREET
KEENE NH 03431

Officer/Director/Trustee Three

CHRISTINE YOUNG
DIRECTOR
250 NORTH MAPLE STREET
FLORENCE MA 01062

Officer/Director/Trustee Four

ALLEGRA MILLER
DIRECTOR
74 CAROLINA STREET
BURLINGTON NH 05401

Officer/Director/Trustee Five

KATHY BASCOM-RICH
DIRECTOR
7 MAYFLOWER ROAD
WESTBROOK ME 04092

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/20/2020
Organization Incorporation State NH
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: 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 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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name EARL GOCHEY
Signature Title DIRECTOR
Signature Date 4/5/2020

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