FORM 1023-EZ for MASSREFORM INC

Field Data
EIN 47-5311215
Case Number EO-2016034-000228
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MASSREFORM INC
Organization’s Mailing Address 31 HIGH STREET
City BRIDGEWATER
State MA
ZIP 02324
Accounting period End 1
Primary contact name JOHN E NORRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHN NORRIS
PRESIDENT
31 HIGH STREET
BRIDGEWATER MA 02324

Officer/Director/Trustee Two

JOHN PEDERSEN
VICE PRESIDENT
99 DAY STREET
NORWOOD MA 02062

Officer/Director/Trustee Three

HARGEET CHANI
TREASURER AND SECRETARY
71 JUNIPER ROAD
HOLLISTON MA 01746

Organization’s website WWW.MASSREFORM.ORG
Organization’s email JNORRIS@MASSREFORM.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/7/2015
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: No
Religious: No
Educational: Yes
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 Yes
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
Signature Title
Signature Date

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