FORM 1023-EZ for MERCERVILLE FIRE COMPANY FOUNDATIONINC

Field Data
EIN 81-0910663
Case Number EO-2015362-000235
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MERCERVILLE FIRE COMPANY FOUNDATIONINC
Organization’s Mailing Address 2711 NOTTINGHAM WAY
City HAMILTON
State NJ
ZIP 08619
Accounting period End 12
Primary contact name BRIAN PFEIFFER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RICHARD KLOCKNER
PRESIDENT
12 STRASSBERG COURT
HAMILTON SQ NJ 08690

Officer/Director/Trustee Two

HENRY RYAN
VICE PRESIDENT
3 LEE LANE
BORDENTOWN NJ 08505

Officer/Director/Trustee Three

KEVIN MCELROY
SECRETARY
234 FENWOOD AVENUE
HAMILTON NJ 08619

Officer/Director/Trustee Four

BRIAN PFEIFFER
TREASURER
142 SAYBROOK AVENUE
HAMILTON NJ 08619

Organization’s website
Organization’s email FOUNDATION@MERCERVILLEFIRE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/24/2015
Organization Incorporation State NJ
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 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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