FORM 1023-EZ for BRISTOL MASONIC ANGEL FUND INC

Field Data
EIN 86-1193719
Case Number EO-2021064-001994
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BRISTOL MASONIC ANGEL FUND INC
Organization’s Mailing Address PO BOX 787
City NORTH ATTLEBORO
State MA
ZIP 02760
Accounting period End 12
Primary contact name BRIAN MEDEIROS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN MEDEIROS
PRESIDENT/TREASURER/DIRECTOR
7 RASPBERRY WAY
WALPOLE MA 02081

Officer/Director/Trustee Two

JOHN SIMMONS
DIRECTOR/TRUSTEE/SECRETARY
40 PARAMETER LANE
NORTH ATTLEBORO MA 02760

Officer/Director/Trustee Three

MAURAN SNOW
DIRECTOR/TRUSTEE
273 COMMONWEALTH AVE
ATTLEBORO FALLS MA 02763

Organization’s website HTTP://WWW.BRISTOLLODGE.ORG
Organization’s email BRIAN@BRISTOLLODGE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/14/2020
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P50 - Personal Social Services
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 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 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 BRIAN MEDEIROS
Signature Title PRESIDENT/TREASURER/DIRECTOR
Signature Date 1/14/2021

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