FORM 1023-EZ for KELLYVILLE RURAL FIRE ASSOCIATION

Field Data
EIN 46-2267865
Case Number EO-2016279-000128
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KELLYVILLE RURAL FIRE ASSOCIATION
Organization’s Mailing Address PO BOX 11
City KELLYVILLE
State OK
ZIP 74039
Accounting period End 12
Primary contact name CLINTON EAST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATT STAIGER
PRESIDENT
13610 S 225TH W AVE
SAPULPA OK 74066

Officer/Director/Trustee Two

BRIAN GREENHAW
VICE PRESIDENT
23275 W HWY 33
SAPULPA OK 74066

Officer/Director/Trustee Three

ANDREW TANGREN
TREASURER
18502 W 156TH ST
KELLYVILLE OK 74039

Officer/Director/Trustee Four

CHAD ENLOW
SECRETARY
16742 W HWY 66
SAPULPA OK 74066

Officer/Director/Trustee Five

CLINTON EAST
TRUSTEE
PO BOX 11
KELLYVILLE OK 74039

Organization’s website
Organization’s email SMOKEEATERS.KVFD@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/3/2016
Organization Incorporation State OK
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 Yes
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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