FORM 1023-EZ for HEROS ON THE QUABBIN INC
| Field | Data |
|---|---|
| EIN | 85-3620019 |
| Case Number | EO-2021064-001625 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | HEROS ON THE QUABBIN INC |
| Organization’s Mailing Address | PO BOX 552 |
| City | BONDSVILLE |
| State | MA |
| ZIP | 01009 |
| Accounting period End | 12 |
| Primary contact name | CHLOE SZARLAN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JUSTIN PELISSIER
PRES/OWNER/EXEC DIRECTOR
110 GRIFFIN STREET
BONDSVILLE MA 01009
Officer/Director/Trustee Two
CHLOE SZARLAN
TREASURER
210 WAREHAM RD
PLYMOUTH MA 02360
Officer/Director/Trustee Three
THERESA THOMPSON
SECRETARY
110 GRIFFIN STREET
BONDSVILLE MA 01009
Officer/Director/Trustee Four
FRANCIS CHLEBUS
DIRECTOR
29 ELM STREET
MONSON MA 01057
Officer/Director/Trustee Five
WILLIAM DOMINGUEZ
DIRECTOR
32 CHILDS ROAD
MONSON MA 01057
| Organization’s website | HEROSONTHEQUABBIN.ORG |
|---|---|
| Organization’s email | JUSTINPEL@COMCAST.NET |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/22/2020 |
| Organization Incorporation State | MA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | N61 - Fishing, Hunting Clubs |
| 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 | JUSTIN PELISSIER |
| Signature Title | PRES/OWNER/EXEC DIRECTOR |
| Signature Date | 1/12/2021 |
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