FORM 1023-EZ for MICHAEL AUSTIN MEMORIAL INC

Field Data
EIN 83-2327588
Case Number EO-2019176-000327
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MICHAEL AUSTIN MEMORIAL INC
Organization’s Mailing Address 195 MILL STREET
City LEOMINSTER
State MA
ZIP 1453
Accounting period End 10
Primary contact name KELLY JOSEPH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KELLY JOSEPH
DIRECTOR AND PRESIDENT
195 MILL STREET
LEOMINSTER MA 1453

Officer/Director/Trustee Two

BRANDY BOLIO
TREASURER
49 MAIN STREET
LEOMINSTER MA 1453

Officer/Director/Trustee Three

AMANDA RIVARD
CLERK
703 WATER STREET
FITCHBURG MA 1420-6479

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/23/18
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O12 - Fund Raising and/or Fund Distribution
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KELLY JOSEPH
Signature Title DIRECTOR AND PRESIDENT
Signature Date 6/21/19

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