FORM 1023-EZ for ATLAS FIRE COMPANY NUMBER 1

Field Data
EIN 26-2124712
Case Number EO-2019246-000125
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ATLAS FIRE COMPANY NUMBER 1
Organization’s Mailing Address 306 WEST SAYLOR STREET
City MOUNT CARMEL
State PA
ZIP 17851
Accounting period End 12
Primary contact name BRIAN HOLLENBUSH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN HOLLENBUSH
PRESIDENT / TREASURER
247 WEST FIFTH STREET
MT CARMEL PA 17851

Officer/Director/Trustee Two

MICHAEL MINNIG
VICE PRESIDENT / FIRE CHIEF
310 EAST SAYLOR STREET
MOUNT CARMEL PA 17851

Officer/Director/Trustee Three

LISA DAMICO
SECRETARY
133 WEST SAYLOR STREET
MOUNT CARMEL PA 17851

Officer/Director/Trustee Four

JOHN HOFFMAN
TRUSTEE
415 EAST FIFTH STREET
MOUNT CARMEL PA 17851

Officer/Director/Trustee Five

LARRY MCCLAY
TRUSTEE
180 3RD STREET
MOUNT CARMEL PA 17851

Organization’s website
Organization’s email ATLASFIRECO1@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/20/11
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: 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BRIAN HOLLENBUSH
Signature Title PRESIDENT / TREASURER
Signature Date 8/29/19

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