FORM 1023-EZ for 2210510 QUABOAG LL

Field Data
EIN 43-3310998
Case Number EO-2016042-000170
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name 2210510 QUABOAG LL
Organization’s Mailing Address 63 BROOKFIELD RD
City NORTH BROOKFIELD
State MA
ZIP 01535
Accounting period End 9
Primary contact name DAVID PROULX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVID PROULX
PRESIDENT
63 BROOKFIELD RD
NORTH BROOKFIELD MA 01535

Officer/Director/Trustee Two

NICK FRANK
SAFETY OFFICER
19 CROSS ST
WEST BROOKFIELD MA 01585

Officer/Director/Trustee Three

MARK SWISTAK
SECRETARY
62 WEST MAIN ST
WEST BROOKFIELD MA 01585

Officer/Director/Trustee Four

ERIK BLAKE
TREASURER
88 MOLASSES HILL RD
BROOKFIELD MA 01506

Officer/Director/Trustee Five

PHIL HERNANDEZ
VICE PRESIDENT
63 KEYES ST
WARREN MA 01083

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/1967
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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