FORM 1023-EZ for NEW HAVEN FIRE MUSTER INC

Field Data
EIN 83-2674277
Case Number EO-2019029-000064
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NEW HAVEN FIRE MUSTER INC
Organization’s Mailing Address 910 HARTZELL ROAD
City NEW HAVEN
State IN
ZIP 46774
Accounting period End 11
Primary contact name RAY EASTERLY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RAYMOND EASTERLY
PRESIDENT
7718 GARMAN ROAD
AUBURN IN 46706

Officer/Director/Trustee Two

DENNIS GIERE
VICE PRESIDENT
5227 TRIER ROAD
FORT WAYNE IN 46815

Officer/Director/Trustee Three

JON STAUFFER
TRREASUER
3801 FRITCHA AVENUE
FORT WAYNE IN 46806

Officer/Director/Trustee Four

JOSH HALE
SECRETARY
1223 ROSE AVENUE
NEW HAVEN IN 46774

Officer/Director/Trustee Five

TIM BOBAY
DIRECTOR
17920 TONKEL ROAD
AUBURN IN 46706

Organization’s website WWW.NHFIREMUSTER.COM
Organization’s email RAY@PRIORITY1SAFETY.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/29/18
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M12 - Fund Raising and/or Fund Distribution
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 Yes
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 RAYMOND EASTERLY
Signature Title PRESIDENT
Signature Date 12/15/18

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