FORM 1023-EZ for WEST ELKTON FIRE ASSOCIATION

Field Data
EIN 87-2639368
Case Number EO-2021259-000417
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WEST ELKTON FIRE ASSOCIATION
Organization’s Mailing Address 12081 ST RT 503
City WEST ELKTON
State OH
ZIP 45064-0151
Accounting period End 12
Primary contact name AMY J PARKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL ROBERTS
TRUSTEE
4698 NORTHERN ROAD
SOMERVILLE OH 45064-9540

Officer/Director/Trustee Two

AMY PARKER
TRUSTEE
6489 GREENBUSH ROAD
SOMERVILLE OH 45064-9670

Officer/Director/Trustee Three

DAVID FUGATE
TRUSTEE
6489 GREENBUSH ROAD
SOMERVILLE OH 45064-9670

Officer/Director/Trustee Four

TAMMY MANN
PRESIDENT
4027 NORTHERN ROAD
SOMERVILLE OH 45064-9540

Officer/Director/Trustee Five

TERI ROBERTS
VICE PRESIDENT
4698 NORTHERN ROAD
SOMERVILLE OH 45064-9540

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/14/2021
Organization Incorporation State OH
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 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 AMY PARKER
Signature Title TRUSTEE
Signature Date 9/15/2021

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