FORM 1023-EZ for THE PATRIOT INITIATIVE

Field Data
EIN 83-1400625
Case Number EO-2018302-000362
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE PATRIOT INITIATIVE
Organization’s Mailing Address 175 CAMP SARGENT RD
City MERRIMACK
State NH
ZIP 3054
Accounting period End 12
Primary contact name JOSHUA MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSHUA MOORE
PRESIDENT
175 CAMP SARGENT RD
MERRIMACK NH

Officer/Director/Trustee Two

ANDREW DECKER
VICE PRESIDENT
59 ROBINSON RD
HUDSON NH 3051

Officer/Director/Trustee Three

RONALD MOORE
TREASURER
175 CAMP SARGENT RD
MERRIMACK NH

Officer/Director/Trustee Four

SHANNON MCGINLEY
BOARD MEMBER
4 BALSAM COURT
BEDFORD NH 3110

Officer/Director/Trustee Five

VICTORIA SULLIVAN
SECRETARY
1056 S BEECH STREET
MANCHESTER NH 3803

Organization’s website
Organization’s email ADMIN@TPIUSA.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/2/18
Organization Incorporation State NH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JOSHUA MOORE
Signature Title PRESIDENT
Signature Date 10/25/18

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