FORM 1023-EZ for THE FIRST MASONIC DISTRICT MASTERSWARDENS & PAST MASTERS ASSOCIATION

Field	Data
EIN	83-3060170
Case Number	EO-2019259-000227
Form 1023-EZ version	12018
Eligibility Worksheet	1
Organization Name	THE FIRST MASONIC DISTRICT MASTERSWARDENS & PAST MASTERS ASSOCIATION
Organization’s Mailing Address	11 STILLWATER ROAD
City	BLAIRSTOWN
State	NJ
ZIP	7825
Accounting period End	12
Primary contact name	JAMES TAYLOR
Primary contact phone	[Hidden]
Primary contact phone extension	[Hidden]
Primary contact fax	[Hidden]
User fee submitted	$275.00

Officer/Director/Trustee One

SCOTT SEVERNS
PRESIDENT
59 FARVIEW ROAD
GREAT MEADOWS NJ 7838-2701

Officer/Director/Trustee Two

JAMES TAYLOR
TREASURER
1510 ROUTE 31 NORTH
OXFORD NJ 7863

Officer/Director/Trustee Three

DAVID LORENC
TRUSTEE
424 OLD MAIN STREET
ASBURY NJ 8802-1075

Officer/Director/Trustee Four

ABRAHAM JACINTO
TRUSTEE
131 STILLWATER STATION ROAD
NEWTON NJ 7860-5052

Officer/Director/Trustee Five

JOHN JENNINGS
TRUSTEE
53 AIRPORT ROAD
TRANQUILITY NJ 7879

Organization’s website
Organization’s email	1STDISTRICTMASTERS.WARDENS@GMAIL.COM
Organization Incorporated	Yes
Organization trust	No
Necessary Organizing Documents	Yes
Organization Incorporation Date	4/5/19
Organization Incorporation State	NJ
Contains Limitation	Yes
Does not expressly empower	Yes
Contains dissolution	Yes
National Taxonomy of Exempt Entities (NTEE) code	Y40 - Fraternal Beneficiary Societies
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	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	ABRAHAM JACINTO
Signature Title	TRUSTEE
Signature Date	9/10/19
EIN	83-3060170
Case Number	EO-2019259-000227
Form 1023-EZ version	12018
Eligibility Worksheet	1
Organization Name	THE FIRST MASONIC DISTRICT MASTERS WARDENS & PAST MASTERS ASSOCIATION
Organization’s Mailing Address	11 STILLWATER ROAD
City	BLAIRSTOWN
State	NJ
ZIP	7825
Accounting period End	12
Primary contact name	JAMES TAYLOR
Primary contact phone	[Hidden]
Primary contact phone extension	[Hidden]
Primary contact fax	[Hidden]
User fee submitted	$275.00