FORM 1023-EZ for NIPMUC REGIONAL HIGH SCHOOL ATHLETIC HALL OF FAME

Field Data
EIN 84-2682713
Case Number EO-2019253-000156
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NIPMUC REGIONAL HIGH SCHOOL ATHLETIC HALL OF FAME
Organization’s Mailing Address 90 PLEASANT STREET
City UPTON
State MA
ZIP 1568
Accounting period End 12
Primary contact name CHRISTOPHER SCHMIDT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTOPHER SCHMIDT
PRESIDENT
121 HIGHLAND STREET
FRANKLIN MA 2038

Officer/Director/Trustee Two

CARL AMBROSINO
VICE PRESIDENT
104 WARREN STREET
UPTON MA 1568

Officer/Director/Trustee Three

BERNADETTE CURTIS
TREASURER
28 MENDON STREET
BELLINGHAM MA 2019

Officer/Director/Trustee Four

MICHAEL CLEMENTS
CLERK
33 MIDGELY CIRCLE
N. GRAFTON MA 1536

Organization’s website HTTPS://SITES.GOOGLE.COM/MURSD.ORG/NIPMUC-HALL-OF-FAME
Organization’s email NIPMUCHOF@MURSD.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/21/19
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 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 CHRISTOPHER SCHMIDT
Signature Title PRESIDENT
Signature Date 9/6/19

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