FORM 1023-EZ for THE BILLERICA ROTARY CHARITABLE FOUNDATION

Field Data
EIN 84-2704182
Case Number EO-2019262-000083
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE BILLERICA ROTARY CHARITABLE FOUNDATION
Organization’s Mailing Address 164 CONCORD ROAD
City BILLERICA
State MA
ZIP 1821
Accounting period End 6
Primary contact name BRIAN GOGUEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN GOGUEN
PRESIDENT
164 CONCORD ROAD
BILLERICA MA 1821

Officer/Director/Trustee Two

JAMES MARSHALL
TREASURER
35 SETTLERS WAY
TEWKSBURY MA 1876

Officer/Director/Trustee Three

DAWN MARSHALL
CLERK
35 SETTLERS WAY
TEWKSBURY MA 1876

Officer/Director/Trustee Four

BRIAN GOGUEN
DIRECTOR
164 CONCORD ROAD
BILLERICA MA 1821

Officer/Director/Trustee Five

JAMES MARSHALL
DIRECTOR
35 SETTLERS WAY
TEWKSBURY MA 1876

Organization’s website WWW.BILLERICA7910.ORG
Organization’s email BDGOGUEN@COMCAST.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/23/18
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - 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 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 BRIAN GOGUEN
Signature Title DIRECTOR
Signature Date 9/17/19

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