FORM 1023-EZ for MANISSEAN TRIBAL COUNCIL

Field Data
EIN 47-2845783
Case Number EO-2015068-000995
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MANISSEAN TRIBAL COUNCIL
Organization’s Mailing Address PO BOX 431
City BLOCK ISLAND
State RI
ZIP 02807
Accounting period End 12
Primary contact name CRYSTAL CASSELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BARBARA GOBERN
VICE PRESIDENT
35 SEABROOK DRIVE
EAST PROVIDENCE RI 02914

Officer/Director/Trustee Two

DAVID GOBERN JR
PRESIDENT
BEACON HILL ROAD
BLOCK ISLAND RI 02807

Officer/Director/Trustee Three

SHIRLYNE GOBERN
SECRETARY
DODGE STREET
BLOCK ISLAND RI 02807

Officer/Director/Trustee Four

DONALD GOBERN
VICE PRESIDENT
40 PURITAN STREET
PROVIDENCE RI 02907

Officer/Director/Trustee Five

CRYSTAL CASSELL
TREASURER
4701 STILL PLACE
WOODBRIDGE RI 22193

Organization’s website
Organization’s email MANISSEANTRIBALCOUNCIL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/23/2015
Organization Incorporation State RI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
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
Signature Title
Signature Date

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