FORM 1023-EZ for KNOX COUNTY MUTUAL AID ASSOCIATION INCORPORATED

Field Data
EIN 81-3105049
Case Number EO-2016307-000250
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KNOX COUNTY MUTUAL AID ASSOCIATION INCORPORATED
Organization’s Mailing Address 475 CAMDEN RD
City HOPE
State ME
ZIP 04847
Accounting period End 12
Primary contact name CLARENCE J KELLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLARENCE KELLER
SECRETARY TREASURER
654 HATCHET MOUNTAIN RD
HOPE ME 04847

Officer/Director/Trustee Two

PAUL SMELTZER
PRESIDENT
45 WEST RIDGE ROAD
WALDOBORO ME 04572

Officer/Director/Trustee Three

CHRIS FARLEY
VICE PRESIDENT
44 SPEAR STREET
ROCKPORT ME 04856

Officer/Director/Trustee Four

MARC CANDAGE
DIRECTOR
11 CHAPEL HILL ROAD
VINALHAVEN ME 04863

Officer/Director/Trustee Five

TIMOTHY POLKY
DIRECTOR
759 RIVER ROAD
ST GEORGE ME 04860

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/16/2016
Organization Incorporation State ME
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M40 - Safety Education
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 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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