FORM 1023-EZ for GENOA HARMONY VOLUNTEER FIRE DEPARTMENT

Field Data
EIN 39-1748321
Case Number EO-2019092-000155
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GENOA HARMONY VOLUNTEER FIRE DEPARTMENT
Organization’s Mailing Address 126 MAIN ST
City GENOA
State WI
ZIP 54632
Accounting period End 12
Primary contact name TODD OPPRIECHT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL HANSON
CHIEF
123 MALIN ST
GENOA WI 54632

Officer/Director/Trustee Two

TODD OPPRIECHT
ASST CHIEF
E1580 CTY RD K
GENOA WI 54632

Officer/Director/Trustee Three

DONALD NICKELOTTI
ASST CHIEF 2
1570 SYLVAN GLEN RD
STODDARD WI 54658

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/1/62
Organization Incorporation State WI
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: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: Yes
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 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 TODD OPPRIECHT
Signature Title ASST CHIEF
Signature Date 3/28/19

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