FORM 1023-EZ for MENDON HISTORICAL SOCIETY

Field Data
EIN 43-3311399
Case Number EO-2016022-000253
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MENDON HISTORICAL SOCIETY
Organization’s Mailing Address PO BOX 196
City MENDON
State MA
ZIP 01756-0196
Accounting period End 9
Primary contact name PAUL A DOUCETTE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JANE LOWELL
CO-PRESIDENT
90 MILLVILLE STREET
MENDON MA 01756

Officer/Director/Trustee Two

AMY DEWITT
CO-PRESIDENT
10 ASKINS DRIVE
MENDON MA 01756

Officer/Director/Trustee Three

RUTH CASSINELLI
SECRETARY
55 BLACKSTONE STREET
MENDON MA 01756

Officer/Director/Trustee Four

PAUL DOUCETTE
TREASURER
202 MILLVILLE STREET
MENDON MA 01756-1254

Officer/Director/Trustee Five

ARLENE REED
CURATOR
25 MISCOE ROAD
MENDON MA 01756

Organization’s website HTTPS://WWW.FACEBOOK.COM/PAGES/MENDON-HISTORICAL-SOCIETY/258537160833272
Organization’s email PADOUCETTE@COMCAST.NET
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date ###############################################################################################################################################################################################################################################################
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A80 - Historical Societies, Related Historical Activities
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 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
Signature Title
Signature Date

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