FORM 1023-EZ for FRIENDS OF MOUNT PLEASANT FIRE DEPARTMENT

Field Data
EIN 84-4034914
Case Number EO-2021102-000555
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FRIENDS OF MOUNT PLEASANT FIRE DEPARTMENT
Organization’s Mailing Address 204 S JACKSON STREET
City MT PLEASANT
State IA
ZIP 52641
Accounting period End 12
Primary contact name ANTHONY BLINT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANTHONY BLINT
DIRECTOR
1000 WEST CLAY STREET
MT PLEASANT IA 52641

Officer/Director/Trustee Two

WILLIAM BENSMILLER
DIRECTOR
1007 N LUCAS STREET
MT PLEASANT IA 52641

Officer/Director/Trustee Three

LOREN WOODRUFF
DIRECTOR
306 S LOCUST
MT PLEASANT IA 52641

Officer/Director/Trustee Four

KEVIN ELMORE
DIRECTOR
1442 215TH STREET
MT PLEASANT IA 52641

Officer/Director/Trustee Five

BEN CALHOUN
DIRECTOR
705 S LOCUST
MT PLEASANT IA 52641

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/10/2019
Organization Incorporation State IA
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ANTHONY BLINT
Signature Title DIRECTOR
Signature Date 4/1/2021

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