FORM 1023-EZ for POWHATAN FIREFIGHTERS ASSOCIATION

Field Data
EIN 85-2725925
Case Number EO-2020273-000938
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name POWHATAN FIREFIGHTERS ASSOCIATION
Organization’s Mailing Address 104 MELLOTT ST
City POWHATAN POINT
State OH
ZIP 43942-1227
Accounting period End 12
Primary contact name MARK PETHO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK PETHO
TREASURER
142 ALLEN AVE
POWHATAN POINT OH 43942-1256

Officer/Director/Trustee Two

JOSH COOPER
TRUSTEE
54801 MOUNT VICTORY ROAD
POWHATAN POINT OH 43942-9770

Officer/Director/Trustee Three

IAN ELLER
PRESIDENT
53980 ARMAN HILL ROAD
POWHATAN POINT OH 43942-9705

Officer/Director/Trustee Four

THOMAS NELMS
VICE PRESIDENT
110 LYNN DRIVE
POWHATAN POINT OH 43942-1254

Officer/Director/Trustee Five

CHORTNEY HARMAN
SECRETARY
54585 COVER ROAD
POWHATAN POINT OH 43942-9763

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/17/2020
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M01 - Alliance/Advocacy Organizations
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 MARK PETHO
Signature Title TREASURER
Signature Date 9/27/2020

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