FORM 1023-EZ for NELSONVILLE VOLUNTER FIRE DEPARTMENT

Field Data
EIN 81-2213082
Case Number EO-2017201-000224
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NELSONVILLE VOLUNTER FIRE DEPARTMENT
Organization’s Mailing Address 211 LAKE HOPE DRIVE
City NELSONVILLE
State OH
ZIP 45764
Accounting period End 11
Primary contact name JEFF WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK WRIGHT
PRESIDENT
4657 ELM STREET
BUCHEL OH 45716

Officer/Director/Trustee Two

GARDNER BRIGGS
SECRETARY
422 MADISON STREET
NELSONVILLE OH 45764

Officer/Director/Trustee Three

JEFF WILLIAMS
TREASURER
18996 JONES RD
NELSONVILLE OH 45764

Organization’s website
Organization’s email FIRE@CITYOFNELSONVILLE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date ###############################################################################################################################################################################################################################################################
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A11 - Single Organization Support
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 Yes
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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