FORM 1023-EZ for 21 HEROES INC

Field Data
EIN 81-3001900
Case Number EO-2016190-000558
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name 21 HEROES INC
Organization’s Mailing Address 43 CRYSTAL PLACE
City PAWTUCKET
State RI
ZIP 02861-4455
Accounting period End 12
Primary contact name TERRENCE NAU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERRENCE NAU
DIRECTOR
43 CRYSTAL PLACE
PAWTUCKET RI 02861-4455

Officer/Director/Trustee Two

WILLIAM DONNELLY
SECRETARY
36 YORK AVENUE
PAWTUCKET RI 02861-4455

Officer/Director/Trustee Three

JAMES RAFTUS
VICE PRESIDENT
33 ARNOLD DRIVE
CUMBERLAND RI 02864

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/21/2016
Organization Incorporation State RI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A12 - 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
Signature Title
Signature Date

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