FORM 1023-EZ for FIERCE FOR SHANNON FOUNDATION

Field Data
EIN 47-1523024
Case Number EO-2015278-000461
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FIERCE FOR SHANNON FOUNDATION
Organization’s Mailing Address PO BOX 305
City HARRISVILLE
State RI
ZIP 02830
Accounting period End 6
Primary contact name BRIAN HEIL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRIAN HEIL
PRESIDENT
111 JEFFERSON ROAD
BURRILLVILLE RI 02830

Officer/Director/Trustee Two

PATRICIA HEIL
VICE PRESIDENT
2 BRIDGHAM COURT
RUMFORD RI 02916

Officer/Director/Trustee Three

DAVID COURNOYER
TREASURER
63 LEDGEWOOD LN
WOONSOCKET RI 02895

Officer/Director/Trustee Four

ADDISON HEIL
DIRECTOR
111 JEFFERSON ROAD
BURRILLVILLE RI 02830

Officer/Director/Trustee Five

CAMERON HEIL
DIRECTOR
111 JEFFERSON ROAD
BURRILLVILLE RI 02830

Organization’s website HTTP://WWW.FIERCEFORSHANNON.ORG
Organization’s email FIERCEFORSHANNON@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/12/2014
Organization Incorporation State RI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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
Signature Title
Signature Date

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