FORM 1023-EZ for MONTICELLO FIRE & RESCUE ASSOCIATION

Field Data
EIN 35-1839731
Case Number EO-2020171-000009
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MONTICELLO FIRE & RESCUE ASSOCIATION
Organization’s Mailing Address 911 W SOUTH STREET
City MONTICELLO
State IN
ZIP 47960
Accounting period End 12
Primary contact name CHAD WALTHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICK GREEN
PRESIDENT
622 S BLUFF STREET
MONTICELLO IN 47960

Officer/Director/Trustee Two

CODY SCHEURICH
VICE PRESIDENT
3549 N EAST SHAFER DRIVE
MONTICELLO IN 47960

Officer/Director/Trustee Three

CHAD WALTHER
SECRETARY/TREASURER
911 W SOUTH STREET
MONTICELLO IN 47960

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/1983
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S12 - Fund Raising and/or Fund Distribution
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name CHAD WALTHER
Signature Title SECRETARY/TREASURER
Signature Date 6/17/2020
EIN 35-1839731
Case Number EO-2015302-000328
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MONTICELLO FIRE AND RESCUE ASSOCIATION
Organization’s Mailing Address 120 W WASHINGTON ST
City MONTICELLO
State IN
ZIP 47960
Accounting period End 12
Primary contact name BRUCE KERCHEVAL CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JERRY MAXSON
PRESIDENT
811 N THIRD ST
MONTICELLO IN 47960

Officer/Director/Trustee Two

ANDREW HAMPTON
VICE PRESIDENT
818 W WASHINGTON ST
MONTICELLO IN 47960

Officer/Director/Trustee Three

DANIEL WHITEMAN
TREASURER
2526 S AIRPORT ROAD
MONTICELLO IN 47960

Officer/Director/Trustee Four

JAKE RIEFF
SECRETARY
208 N BEACH DR APT B
MONTICELLO IN 47960

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/1980
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P58 - Gift Distribution
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
Signature Title
Signature Date

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