FORM 1023-EZ for LUNENBURG SKATE PARK INC

Field Data
EIN 82-5160573
Case Number EO-2018117-000202
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LUNENBURG SKATE PARK INC
Organization’s Mailing Address 1091 MASSACHUSETTS AVENUE
City LUNENBURG
State MA
ZIP 1462
Accounting period End 6
Primary contact name DEREK T WELCH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

C ANTHONY CAIOZZO
PRESIDENT
1091 MASSACHUSETTS AVE
LUNENBURG MA 1462

Officer/Director/Trustee Two

DEREK WELCH
TREASURER AND CLERK
405 NEW WEST TOWNSEND ROAD
LUNENBURG MA 1462

Officer/Director/Trustee Three

GREG ROY
DIRECTOR
105 CHESNUT STREET
LUNENBURG MA 1462

Officer/Director/Trustee Four

MICHAEL SALVATORE
DIRECTOR
773 RESERVOIR ROAD
LUNENBURG MA 1462

Officer/Director/Trustee Five

HEATHER SWIFT
DIRECTOR
63 OAK AVENUE
LUNENBURG MA 1462

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/11/18
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N32 - Parks and Playgrounds
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 DEREK WELCH
Signature Title TREASURER AND CLERK
Signature Date 4/25/18

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