FORM 1023-EZ for MERRIMACK VALLEY PREVENTION AND SUBSTANCE ABUSE PROJECT INC

Field Data
EIN 47-4313057
Case Number EO-2015173-000445
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MERRIMACK VALLEY PREVENTION AND SUBSTANCE ABUSE PROJECT INC
Organization’s Mailing Address 159 WOODBURN DR
City METHUEN
State MA
ZIP 01844
Accounting period End 12
Primary contact name PAULA MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PHILIP LAHEY
PRESIDENT
159 WOODBURN DR
METHUEN MA 01844

Officer/Director/Trustee Two

PAULA MOORE
TREASURER
180 NORTH END BLVD
SALISBURY MA 01952

Officer/Director/Trustee Three

KATRINA REARDON
SECRETARY
22 RUSSETT HILL RD
HAVERHILL MA 01830

Officer/Director/Trustee Four

JENNIFER BURNS
VICE PRESIDENT
56 REDLANDS RD
W ROXBURY MA 02132

Officer/Director/Trustee Five

DEAN BROUDER
DIRECTOR
56 CONRAD ST
METHUEN MA 01844

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/11/2015
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F21 - Alcohol, Drug Abuse, Prevention Only
Organization’s purpose Charitable: No
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 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
Signature Title
Signature Date

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