FORM 1023-EZ for MY COMMUNITY NURSE PROJECT

Field Data
EIN 84-4531880
Case Number EO-2020266-000027
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MY COMMUNITY NURSE PROJECT
Organization’s Mailing Address PO BOX 57
City WESTON
State VT
ZIP 05161
Accounting period End 12
Primary contact name LUCY SHERBURNE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GLORIA DAWSON
CHAIR
PO BOX 219
WESTON VT 05161

Officer/Director/Trustee Two

KIERAN MCKENNA
TREASURER
123 PIPER HILL RD
WESTON VT 05161

Officer/Director/Trustee Three

JUDY NOCERINO
SECRETARY
100 OLD TAVERN RD
WESTON VT 05161

Officer/Director/Trustee Four

HEIDI ROOT
MEMBER BD
CIDER MILL LOOP
WESTON VT 05161

Officer/Director/Trustee Five

WILLIAM HOYT
BOARD MEMBER
DALE RD
WESTON VT 05161

Organization’s website
Organization’s email MCNP.WESTON@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/22/2020
Organization Incorporation State VT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
Organization’s purpose Charitable: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name GLORIA DAWSON
Signature Title CHAIR
Signature Date 9/20/2020

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