FORM 1023-EZ for MTM-CNM FAMILY CONNECTION INC

Field Data
EIN 38-3932529
Case Number EO-2014223-000330
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MTM-CNM FAMILY CONNECTION INC
Organization’s Mailing Address 4 OAKHILL DRIVE
City METHUEN
State MA
ZIP 01844-5521
Accounting period End 12
Primary contact name MARK WARD - TREASURER DIRECTOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ERIN WARD
PRESIDENT DIRECTOR
4 OAKHILL DRIVE
METHUEN MA 01844-5521

Officer/Director/Trustee Two

MARK WARD
TREASURER DIRECTOR
4 OAKHILL DRIVE
METHUEN MA 01844-5521

Officer/Director/Trustee Three

MARIE WOOD
VICE PRESIDENT DIRECTOR
4518 BRONX BLVD
BRONX NY 10470-1410

Officer/Director/Trustee Four

SHANNON MASHINCHI
CLERK DIRECTOR
13313 SE VALEMONT LANE
HAPPY VALLEY OR 97086-5929

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/30/2014
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E86 - Patient Services - Entertainment, Recreation
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
One Third Support Gifts No
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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