FORM 1023-EZ for PALM BEACH FIRST RESPONDERS FOUNDATION INC

Field Data
EIN 86-2122418
Case Number EO-2021092-000028
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PALM BEACH FIRST RESPONDERS FOUNDATION INC
Organization’s Mailing Address 139 NORTH COUNTY ROAD SUITE 26
City PALM BEACH
State FM
ZIP 33480
Accounting period End 12
Primary contact name JOHN HOUGH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN SCARPA
PRESIDENT
1676 SOUTH OCEAN BLVD
PALM BEACH FL 33480

Officer/Director/Trustee Two

MICHAEL BELISLE
VICE PRESIDENT
201 WORTH AVE
PALM BEACH FL 33480

Officer/Director/Trustee Three

TIM MORAN
SECOND VICE PRESIDENT
257 DUNBAR RD
PALM BEACH FL 33480

Officer/Director/Trustee Four

JOHN PRESTON
SECOND VICE PRESIDENT
25 MIDDLE ROAD
PALM BEACH FL 33480

Officer/Director/Trustee Five

ANNIE FALK
SECRETARY
600 TARPON WAY
PALM BEACH FL 33480

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/12/2021
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M24 - Fire Prevention, Protection, Control
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 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 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 TIM MORAN
Signature Title SECOND VICE PRESIDENT
Signature Date 2/23/2021

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