FORM 1023-EZ for HOSE HEADS CHILI TEAM INC

Field Data
EIN 81-2969668
Case Number EO-2016328-000085
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOSE HEADS CHILI TEAM INC
Organization’s Mailing Address 5 ESSEX ST
City BLACKSTONE
State MA
ZIP 01504
Accounting period End 6
Primary contact name THOMAS DUNAYESKI II
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEVE JOLICOEUR
PRESIDENT
5 ESSEX ST
BLACKSTONE MA 01504

Officer/Director/Trustee Two

THOMAS DUNAYESKI II
TREASURER
616 RATHBUN ST
BLACKSTONE MA 01504

Officer/Director/Trustee Three

MICHELLE VILLEMAIRE
CLERK
437A EAST HARTFORD AVE
UXBRIDGE MA 01569

Officer/Director/Trustee Four

BRAD KWATCHER
DIRECTOR
13 DIANA
BLACKSTONE MA 01504

Organization’s website
Organization’s email HOSEHEADSCHILI@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/8/2016
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 Yes
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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