FORM 1023-EZ for PLEASANTVILLE VOLUNTEER FIRE DEPARTMENT

Field Data
EIN 45-0522729
Case Number EO-2016131-000086
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PLEASANTVILLE VOLUNTEER FIRE DEPARTMENT
Organization’s Mailing Address PO BOX 45
City PLEASANTVILLE
State PA
ZIP 16341
Accounting period End 12
Primary contact name HARVEY LONG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KEITH ONEY
PRESIDENT
16621 S MAIN ST
PLEASANTVILLE PA 16341

Officer/Director/Trustee Two

MARY JANE SCHROEDER
VICE-PRESIDENT
1895 ENTERPRISE RD
TITUSVILLE PA 16354

Officer/Director/Trustee Three

CHRISTINE HUTH
SECRETARY
160 E STATE ST APT 1
PLEASANTVILLE PA 16341

Officer/Director/Trustee Four

HARVEY LONG
TREASURER
PO BOX 180 137 E STATE ST
PLEASANTVILLE PA 16341

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/4/1964
Organization Incorporation State PA
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: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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