FORM 1023-EZ for NORTH COUNTRY CARES

Field Data
EIN 47-3724867
Case Number EO-2016078-000191
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTH COUNTRY CARES
Organization’s Mailing Address 2448 WHITE MOUNTAIN HIGHWAY
City NORTH CONWAY
State NH
ZIP 03860
Accounting period End 12
Primary contact name HOLLY SARES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HOLLY SARES
PRESIDENT
2857 WEST SIDE RD
NORTH CONWAY NH 03860

Officer/Director/Trustee Two

MICHELLE MCDONALD
VICE-PRESIDENT
18 VALLEY VIEW ROAD
N. CONWAY NH 03860-5139

Officer/Director/Trustee Three

ADAM LAND-OLSEN
TREASURER
22 ELM STREET
FRYEBURG MA 04037

Officer/Director/Trustee Four

BRANDY HEWITT
SECRETARY
1302 BALD HILL ROAD
ALBANY NH 03818

Officer/Director/Trustee Five

DEBRA DESCHANE
COMMUNITY RELATIONS
45 ODELL HILL ROAD
CONWAY NH 03813

Organization’s website NORTHCOUNTRYCARES.NET
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/19/2013
Organization Incorporation State NH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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