FORM 1023-EZ for MASONS MISSION FOUNDATION INC

Field Data
EIN 81-3443878
Case Number EO-2016230-000174
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MASONS MISSION FOUNDATION INC
Organization’s Mailing Address 4927 CLOVERLEAF LANE
City LOCKPORT
State NY
ZIP 14094
Accounting period End 12
Primary contact name JASON EVCHICH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON EVCHICH
PRESIDENT
4927 CLOVERLEAF LANE
LOCKPORT NY 14094

Officer/Director/Trustee Two

JAMES GANGLOFF
TREASURER
3604 KELSEY LANE
NORTH TONAWANDA NY 14120

Officer/Director/Trustee Three

DARREN VUKOVIC
SECRETARY
2900 TONAWANDA CREEK ROAD
AMHERST NY 14228

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/11/2016
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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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