FORM 1023-EZ for THE BOSTON MINERAL CLUB INC

Field Data
EIN 46-6114212
Case Number EO-2014279-000485
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE BOSTON MINERAL CLUB INC
Organization’s Mailing Address 8 ELENA ROAD
City LEXINGTON
State MA
ZIP 02421
Accounting period End 12
Primary contact name JASON J KOHOUT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NATHAN C MARTIN II
PRESIDENT, DIRECTOR
8 ELENA ROAD
LEXINGTON MA 02421

Officer/Director/Trustee Two

STEPHEN GEROME
TREASURER, DIRECTOR
7 HOLLAND STREET
SAUGUS MA 01906

Officer/Director/Trustee Three

MICHAEL HARITOS
CLERK, DIRECTOR
11 SPRING HILL ROAD
HYDE PARK MA 02136

Officer/Director/Trustee Four

ANNA GOLITSYNA
VICE PRESIDENT, DIRECTOR
15 GAIL ROAD
NEWTON MA 02462

Officer/Director/Trustee Five

PETER CRISTOFONO
DIRECTOR
16 HOWARD STREET
SALEM MD 01970

Organization’s website WWW.BOSTONMINERALCLUB.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/9/2014
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A03 - Professional Societies, Associations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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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