FORM 1023-EZ for WORCESTER PRISON MINISTRIES INC

Field Data
EIN 83-3075709
Case Number EO-2019263-000369
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WORCESTER PRISON MINISTRIES INC
Organization’s Mailing Address 1 SHORE LANE
City CLINTON
State MA
ZIP 1510-4338
Accounting period End 12
Primary contact name GARY E MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GARY E MILLER
PRESIDENT AND DIRECTOR
1 SHORE LANE
CLINTON MA 1510-4338

Officer/Director/Trustee Two

PATRICIA A GOULET
PRESIDENT AND DIRECTOR
7 HERITAGE LANE
BOYLSTON MA 1505-2026

Officer/Director/Trustee Three

ELIZABETH A MILLER
CLERK AND DIRECTOR
1 SHORE LANE
CLINTON MA 1510-4338

Officer/Director/Trustee Four

FRANK A GALLAGHER SR
DIRECTOR
17 COLONIAL DRIVE
SOUTHBRIDGE MA 1550-2253

Officer/Director/Trustee Five

LYNN M AMSDEN
DIRECTOR
7 BREEZY LANE
RUTLAND MA 1543-1744

Organization’s website
Organization’s email WORCESTER.PRISON.CHAPEL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/2/18
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I43 - Services to Prisoners and Families - Multipurpose
Organization’s purpose Charitable: No
Religious: Yes
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 GARY E MILLER
Signature Title PRESIDENT AND DIRECTOR
Signature Date 9/18/19

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