FORM 1023-EZ for ROYALSTON FIRE AND EMS ASSOCIATION

Field Data
EIN 42-2813771
Case Number EO-2020013-000399
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROYALSTON FIRE AND EMS ASSOCIATION
Organization’s Mailing Address PO BOX 22
City ROYALSTON
State MA
ZIP 01368
Accounting period End 12
Primary contact name REBECCA KRAUSE-HARDIE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JARET THIEM
PRESIDENT
2239 CHESTNUT HILL AVE
ATHOL MA 01331

Officer/Director/Trustee Two

REBECCA KRAUSE-HARDIE
TREASURER
119 N FITZWILLIAM RD
ROYALSTON MA 01368

Officer/Director/Trustee Three

JEFF THIEM
SECRETARY
2157 CHESTNUT HILL AVE
ATHOL MA 01331

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/28/2003
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M24 - Fire Prevention, Protection, Control
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name REBECCA KRAUSE-HARDIE
Signature Title TREASURER
Signature Date 1/10/2020

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