FORM 1023-EZ for LAKE TALQUIN VOLUNTEER FIRE AND RESCUE DEPARTMENT INC

Field Data
EIN 84-2087008
Case Number EO-2019182-000449
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAKE TALQUIN VOLUNTEER FIRE AND RESCUE DEPARTMENT INC
Organization’s Mailing Address 16614 BLOUNTSTOWN HWY
City TALLAHASSEE
State FL
ZIP 32310
Accounting period End 12
Primary contact name CARMA HARVEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAMIAN GELPI
PRESIDENT
278 POND PINE STREET
TALLAHASSEE FL 32310-9034

Officer/Director/Trustee Two

WILLIAM FOX
VICE PRESIDENT
5374 JACKSON BLUFF RD
TALLAHASSEE FL 32310-3710

Officer/Director/Trustee Three

KAYLA RIDDLE
SECRETARY
278 POND PINE STREET
TALLAHASSEE FL 32310-9034

Officer/Director/Trustee Four

CARMA HARVEY
TREASURER
16919 BLOUNTSTOWN HWY
TALLAHASSEE FL 32310-9398

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/13/19
Organization Incorporation State FL
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 Yes
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 CARMA HARVEY
Signature Title TREASURER
Signature Date 6/27/19

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