FORM 1023-EZ for OLD STURBRIDGE ACADEMY PARENT TEACHER SCHOLAR ASSOCIATION

Field Data
EIN 83-1076846
Case Number EO-2020308-000072
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OLD STURBRIDGE ACADEMY PARENT TEACHER SCHOLAR ASSOCIATION
Organization’s Mailing Address 2 OLD STURBRIDGE VILLAGE ROAD
City STURBRIDGE
State MA
ZIP 01566
Accounting period End 8
Primary contact name LINDA RODRIGUEZ EA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTINE BLINN
PRESIDENT
129 TORREY ROAD
SOUTHBRIDGE MA 01550

Officer/Director/Trustee Two

MELISSA MAURICE
VICE PRESIDENT
257 STAFFORD ROAD
MONSON MA 01057

Officer/Director/Trustee Three

DANIELLE BJORK
VICE PRESIDENT
25 BROWNING POND ROAD
SPENCER MA 01562

Officer/Director/Trustee Four

LISEL CLANCEY
SECRETARY
18 WOODSIDE CIRCLE
STURBRIDGE MA 01566

Officer/Director/Trustee Five

JESSICA COURNOYER
TREASURER
40 COLONIAL DRIVE
SOUTHBRIDGE MA 01550

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2018
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
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 CHRISTINE BLINN
Signature Title PRESIDENT
Signature Date 10/30/2020

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