FORM 1023-EZ for THREE RIVERS FIREFIGHTERS ASSOCIATION INC

Field Data
EIN 47-5000013
Case Number EO-2016307-000360
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THREE RIVERS FIREFIGHTERS ASSOCIATION INC
Organization’s Mailing Address 50 SPRINGFIELD STREET
City THREE RIVERS
State MA
ZIP 01080
Accounting period End 6
Primary contact name STEPHEN CHIACCHIA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL MATTHIEU
PRESIDENT AND DIRECTOR
64 CHUDY STREET
THREE RIVERS MA 01080

Officer/Director/Trustee Two

DANIEL GAGNER
TREASURER AND DIRECTOR
24 ROOSEVELT STREET
PALMER MA 01069

Officer/Director/Trustee Three

BENJAMIN DUBY
CLERK AND DIRECTOR
51 NORTH STREET
THREE RIVERS MA 01080

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/8/2015
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 Yes
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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