FORM 1023-EZ for DIGNITY MATTERS INC

Field Data
EIN 81-4572839
Case Number EO-2017306-000276
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DIGNITY MATTERS INC
Organization’s Mailing Address 19 BARNEY HILL RD
City WAYLAND
State MA
ZIP 01778
Accounting period End 10
Primary contact name KATARZYNA SANETRA-BUTLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATARZYNA SANETRA-BUTLER
PRESIDENT AND CEO
19 BARNEY HILL RD
WAYLAND MA 01778

Officer/Director/Trustee Two

ELIZA MOSURICK
DIRECTOR AND SECRETARY
8 CONCORD RD
WAYLAND MA 01778

Officer/Director/Trustee Three

REBECCA PUTNAM
DIRECTOR
5 HAMILTON RD
NORTHBOROUGH MA 01532

Officer/Director/Trustee Four

NOREEN MCKEENEY
TREASURER
88 JACOBSEN DRIVE
NORWOOD MA 02062

Officer/Director/Trustee Five

NICOLA MONAHAN
DIRECTOR AND COO
2 TALLWOOD RD
MEDFIELD MA 02052

Organization’s website WWW.DIGNITY-MATTERS.ORG
Organization’s email INFO@DIGNITY-MATTERS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/2/2016
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P19 - Nonmonetary Support N.E.C.
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 Yes
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 Yes
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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