FORM 1023-EZ for HOLLYFELD INSTITUTE LIMITED

Field Data
EIN 82-5288286
Case Number EO-2018116-000247
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOLLYFELD INSTITUTE LIMITED
Organization’s Mailing Address 86 PLYMOUTH RD
City NEEDHAM
State MA
ZIP 2492
Accounting period End 12
Primary contact name PATRICK STERN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICK STERN
PRESIDENT
86 PLYMOUTH RD
NEEDHAM MA 2492

Officer/Director/Trustee Two

LAKSHMI BALACHANDRA
TREASURER
86 PLYMOUTH ROAD
NEEDHAM MA 2492

Officer/Director/Trustee Three

RAMAIYA BALACHANDRA
SECRETARY
9 CROSS STREET
WELLESLEY MA 2482

Officer/Director/Trustee Four

PATRICK STERN
DIRECTOR
86 PLYMOUTH RD
NEEDHAM MA 2492

Organization’s website
Organization’s email PATRICK@HOLLYFELD.INSTITUTE
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/20/18
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H30 - Cancer Research
Organization’s purpose Charitable: No
Religious: No
Educational: No
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PATRICK STERN
Signature Title DIRECTOR
Signature Date 4/24/18

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