FORM 1023-EZ for 1728 CLUB OF MIDDLETON INC

Field Data
EIN 46-1246774
Case Number EO-2015058-000332
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name 1728 CLUB OF MIDDLETON INC
Organization’s Mailing Address 47 LAKE STREET
City MIDDLETON
State MA
ZIP 01949
Accounting period End 12
Primary contact name TIMOTHY P HOUTEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TIMOTHY HOUTEN
PRESIDENT DIRECTOR
47 LAKE STREET
MIDDLETON MA 01949

Officer/Director/Trustee Two

MARIA SILVA
TREASURER DIRECTOR
33 TRASK ROAD
PEABODY MA 01960-2738

Officer/Director/Trustee Three

PAUL RICHARDSON
CLERK DIRECTOR
26 PEABODY STREET
MIDDLETON MA 01949

Officer/Director/Trustee Four

SHIRLEY RAYNARD
DIRECTOR
53 BOSTON STREET
MIDDLETON MA 01949

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/23/2012
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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