FORM 1023-EZ for FIRE ACADEMY FOUNDATION INC

Field Data
EIN 45-5370414
Case Number EO-2019352-000176
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FIRE ACADEMY FOUNDATION INC
Organization’s Mailing Address POST OFFICE BOX 474
City SHELTER ISLAND
State NY
ZIP 11964-0474
Accounting period End 12
Primary contact name ARTHUR P BLOOM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ARTHUR BLOOM
PRESIDENT
PO BOX 474
SHELTER ISLAND NY 11964-0474

Officer/Director/Trustee Two

JAMES STAUDENRAUS
SECRETARY/TREASURER
PO BOX 570
SHELTER ISLAND HGTS NY 11965-0570

Officer/Director/Trustee Three

JOHN D AMATO
VICE PRESIDENT
PO BOX 1832
SHELTER ISLAND NY 11964-1832

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/11/2012
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M40 - Safety Education
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: Yes
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ARTHUR BLOOM
Signature Title PRESIDENT
Signature Date 12/16/2019

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