FORM 1023-EZ for HAUBERGEON COIFS CORPORATION

Field Data
EIN 81-4782863
Case Number EO-2017009-000546
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HAUBERGEON COIFS CORPORATION
Organization’s Mailing Address 29 LAMBER ST 1L
City CAMBRIDGE
State MA
ZIP 02141
Accounting period End 12
Primary contact name TIMOTHY CRUIZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIMOTHY CRUIZ
FOUNDER/DIRECTOR
29 LAMBERT ST 1L
CAMBRIDGE MA 02141

Officer/Director/Trustee Two

DUSTIN SALERNO
DIRECTOR
29 LAMBERT ST 1L
CAMBRIDGE MA 02141

Officer/Director/Trustee Three

WILLIAM PROPHETT
DIRECTOR
29 LAMBERT ST 1L
CAMBRIDGE MA 02141

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/14/2016
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I60 - Law Enforcement Agencies (Police Departments)
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 Yes
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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