FORM 1023-EZ for PJS BEFORE AND AFTER PROGRAM

Field Data
EIN 61-1752283
Case Number EO-2015356-000015
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PJS BEFORE AND AFTER PROGRAM
Organization’s Mailing Address 1965 MOOSEHEAD TRAIL
City PLYMOUTH
State ME
ZIP 04969
Accounting period End 12
Primary contact name PAULA BENNETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PAULA BENNETT
PRESIDENT
1965 MOOSEHEAD TRAIL
PLYMOUTH ME 04969-3266

Officer/Director/Trustee Two

RONNIE BENNETT
VICE PRESIDENT
34 ETNA RD
PLYMOUTH ME 04969

Officer/Director/Trustee Three

WENDY LEBLANC
BOARD SECRETARY
1965 MOOSEHEAD TRAIL
PLYMOUTH ME 04969-3266

Officer/Director/Trustee Four

PAULA BENNETT
BOARD TREASURER
1965 MOOSEHEAD TRAIL
PLYMOUTH ME 04969-3266

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/7/2015
Organization Incorporation State ME
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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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