FORM 1023-EZ for CEDAR MOUNTAIN WILDFIRE CREW

Field Data
EIN 82-5413450
Case Number EO-2019126-000558
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CEDAR MOUNTAIN WILDFIRE CREW
Organization’s Mailing Address P O BOX 413
City MANSFIELD
State PA
ZIP 16933
Accounting period End 12
Primary contact name TODD C BOURDETTE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TODD BOURDETTE
PRESIDENT
138 BACK ST
MILLERTON PA 16936

Officer/Director/Trustee Two

ROX ANN BOURDETTE
SECRETARY
138 BACK ST
MILLERTON PA 16936

Officer/Director/Trustee Three

JENNIFER WILLIAMS
TREASURER
215 GRANGER ST
BLOSSBURG PA 16912

Officer/Director/Trustee Four

RICHARD WILLIAMS
VICE PRESIDENT
215 GRANGER ST
BLOSSBURG PA 16912

Organization’s website N/A
Organization’s email CEDARMOUNTAINWILDFIRECREW@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/23/18
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: Yes
Religious: No
Educational: Yes
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 TODD BOURDETTE
Signature Title PRESIDENT
Signature Date 5/3/19

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