FORM 1023-EZ for SOUTH RICHLAND VFD ASSOCIATION

Field Data
EIN 83-3477479
Case Number EO-2019184-000049
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTH RICHLAND VFD ASSOCIATION
Organization’s Mailing Address 1915 E SECOND STREET
City DEFIANCE
State OH
ZIP 43512
Accounting period End 12
Primary contact name CARRIE KENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRYAN BALDWIN
CHIEF
27937 WATSON RD
DEFIANCE OH 43512

Officer/Director/Trustee Two

MARK P SEIBERT
ASSISTANT CHIEF
27831 WATSON RD
DEFIANCE OH 43512

Officer/Director/Trustee Three

CLARENCE BOHN
BOARD OF DIRECTOR
95 BIEDE AVE
DEFIANCE OH 43512

Organization’s website
Organization’s email SRFD971@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/19
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M40 - Safety Education
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 BRYAN BALDWIN
Signature Title CHIEF
Signature Date 7/1/19

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