FORM 1023-EZ for NATIVE AMERICAN HERITAGE AT PEQUOIGINC

Field Data
EIN 82-2998067
Case Number EO-2017313-000439
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NATIVE AMERICAN HERITAGE AT PEQUOIGINC
Organization’s Mailing Address 1 OLD GARDNER ROAD
City WINCHENDON
State MA
ZIP 01475-1256
Accounting period End 12
Primary contact name LISCHEN RIDLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDRE RIDLEY SR
PRESIDENT
1 OLD GARDNER ROAD
WINCHENDON MA 01475-1256

Officer/Director/Trustee Two

LISCHEN RIDLEY
TREASURER
1 OLD GARDNER ROAD
WINCHENDON MA 01475-1256

Officer/Director/Trustee Three

LISCHEN RIDLEY
CLERK
1 OLD GARDNER ROAD
WINCHENDON MA 01475-1256

Officer/Director/Trustee Four

ANDRE RIDLEY SR
DIRECTOR
1 OLD GARDNER ROAD
WINCHENDON MA 01475-1256

Officer/Director/Trustee Five

LISCHEN RIDLEY
DIRECTOR
1 OLD GARDNER ROAD
WINCHENDON MA 01475-1256

Organization’s website WWW.NATIVEAMERICANHERITAGEATPEQUOIG.COM
Organization’s email NATIVEHERITAGEATPEQUOIG@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/2/2017
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
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 Yes
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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