FORM 1023-EZ for BOSTON FIRE METRO FIRE CRITICAL INCIDENT STRESS MANAGEMENT TEAM INC

Field Data
EIN 81-0853168
Case Number EO-2016343-000270
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BOSTON FIRE METRO FIRE CRITICAL INCIDENT STRESS MANAGEMENT TEAM INC
Organization’s Mailing Address C/O BOSTON FD 115 SOUTHAMPTON ST
City BOSTON
State MA
ZIP 02118
Accounting period End 12
Primary contact name ROBERT J POMERENE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DWAINE E DAYE
PRESIDENT DIRECTOR
53 CUSHING ROAD
MILTO N MA 02186

Officer/Director/Trustee Two

RICHARD P RYAN
TREASURER
1 GREEN HOLLY DRIVE
KINGSTON MA 02364

Officer/Director/Trustee Three

CORINNE M FOSTER
CLERK
548 OAK STREET
WESTWOOD MA 02090

Officer/Director/Trustee Four

ROBERT J POMERENE
ASSISTANT CLERK
6 KNIGHT AVENUE
PLYMOUTH MA 02360

Officer/Director/Trustee Five

CHARLES J POPP
DIRECTOR
59 BROCK STREET
BRIGHTON MA 02135

Organization’s website WWW.BOSTONCISM.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/11/2015
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F99 - Mental Health, Crisis Intervention N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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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