FORM 1023-EZ for PATRIOT RIDERS OF AMERICA MAINE CHAPTER 4

Field Data
EIN 83-2857192
Case Number EO-2019042-000240
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PATRIOT RIDERS OF AMERICA MAINE CHAPTER 4
Organization’s Mailing Address 19 ETERINTY DRIVE
City LITCHFIELD
State ME
ZIP 4350
Accounting period End 12
Primary contact name BRANDT MCCOLLETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRANDT MCCOLLETT
PRESIDENT
19 ETERINTY DRIVE
LITCHFIELD ME 4350

Officer/Director/Trustee Two

ERICK RYDER
VICE-PRESIDENT
360 PINKHAM BROOK ROAD
DURHAM ME 4222

Officer/Director/Trustee Three

ELIZABETH LYMAN
SECERETARY
70 CRASH ROAD
LIVEMORE ME 4253

Officer/Director/Trustee Four

HARLAND STANLEY
CHAIR OF BOARD
14 PROSPECT STREET
TOPSHAM ME 4086

Officer/Director/Trustee Five

ROBIN CAMERON
TREASURER
9 SOUTH HUNTS MEADOW ROAD
WHITEFIELD ME 4353

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/17/18
Organization Incorporation State ME
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - 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 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 BRANDT MCCOLLETT
Signature Title PRESIDENT
Signature Date 2/7/19

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