FORM 1023-EZ for BROOKHAVEN TOWN VOLUNTEER FIREFIGHTING MUSEUM

Field Data
EIN 47-2194445
Case Number EO-2017083-000130
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BROOKHAVEN TOWN VOLUNTEER FIREFIGHTING MUSEUM
Organization’s Mailing Address PO BOX 367
City RIDGE
State NY
ZIP 11961
Accounting period End 12
Primary contact name EDWARD MASIELLO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT THEBOLD
PRESIDENT
PO BOX 367
RIDGE NY 11961

Officer/Director/Trustee Two

EDWARD MASIELLO
1ST VICE PRESIDENT
PO BOX 367
RIDGE NY 11961

Officer/Director/Trustee Three

PAT PERRY
2ND VICE PRESIDENT
PO BOX 367
RIDGE NY 11961

Officer/Director/Trustee Four

BOB MCCONVILLE
TREASURER
PO BOX 367
RIDGE NY 11961

Officer/Director/Trustee Five

ANGELA ALLIESGRO
SECRETARY
PO BOX 367
RIDGE NY 11961

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/20/1992
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A50 - Museum, Museum Activities
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
Signature Title
Signature Date

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