FORM 1023-EZ for HEATH FIREFIGHTERS ASSOCIATION

Field Data
EIN 10-0897294
Case Number EO-2015069-000840
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEATH FIREFIGHTERS ASSOCIATION
Organization’s Mailing Address 123 BRANCH HILL RD
City HEATH
State MA
ZIP 01346-9706
Accounting period End 12
Primary contact name BUDGE LITCHFIELD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KENNETH GILBERT
PRESIDENT
63 AVERY BROOK RD
HEATH MA 01346-9706

Officer/Director/Trustee Two

JACK GOUGEON
VICE-PRESIDENT
223 NUMBER NINE RD
HEATH MA 01346-9706

Officer/Director/Trustee Three

BETSY KOVACS
SECRETARY
50 BRAY RD
HEATH MA 01346-9706

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/18/2015
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M11 - Single Organization Support
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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