FORM 1023-EZ for MASSACHSETTS GOLD STAR FAMILY MEMORIAL INC

Field Data
EIN 47-4440355
Case Number EO-2015203-000198
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MASSACHSETTS GOLD STAR FAMILY MEMORIAL INC
Organization’s Mailing Address 265 HIGH STREET
City SOMERSET
State MA
ZIP 02726
Accounting period End 12
Primary contact name LISA J RODRIGUEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRUCE ALDRRICH
PRESIDENT
265 HIGH STREET
SOMERSET MA 02726

Officer/Director/Trustee Two

STEVEN SAMMIS
VICE PRESIDENT
110 PINE STREET
REHOBOTH MA 02769

Officer/Director/Trustee Three

LISA RODRIGUEZ
CLERK
80 CENTER STREET
FAIRHAVEN MA 02719

Officer/Director/Trustee Four

LISA RODRIGUEZ
TREASURER
80 CENTER STREET
FAIRHAVEN MA 02719

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/8/2015
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 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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