FORM 1023-EZ for WAUSA VOLUNTEER FIRE AND RESCUE DEPARTMENT

Field Data
EIN 72-1563769
Case Number EO-2020192-000289
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WAUSA VOLUNTEER FIRE AND RESCUE DEPARTMENT
Organization’s Mailing Address PO BOX 167
City WAUSA
State NE
ZIP 68786-0167
Accounting period End 12
Primary contact name TERRY NELSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GREG CONN
PRESIDENT
601 S GLADSTONE
WAUSA NE 68786

Officer/Director/Trustee Two

BRETT CARLSON
VICE PRESIDENT
54829 875 ROAD
WAUSA NE 68786

Officer/Director/Trustee Three

AMY JOHNSON
SECRETARY/TREASURER
402 S WASHINGTON
WAUSA NE 68786

Officer/Director/Trustee Four

TERRY NELSON
CPA
87391 548 AVE
WAUSA NE 68786

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/10/1907
Organization Incorporation State NE
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TERRY NELSON
Signature Title CPA
Signature Date 7/8/2020

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