FORM 1023-EZ for PEEPLES VALLEY FIRE DEPARTMENT

Field Data
EIN 86-0825150
Case Number EO-2014251-000585
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PEEPLES VALLEY FIRE DEPARTMENT
Organization’s Mailing Address P O BOX 936
City YARNELL
State AZ
ZIP 85362
Accounting period End 12
Primary contact name JUDY GARNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARCELLA THEOKAS
PRESIDENT
16636 W UNKNOWN MEXICAN
PEEPLES VALLEY AZ 86332

Officer/Director/Trustee Two

GENIE HOLT
VICE-PRESIDENT
16823 W TRAP RD
PEEPLES VALLEY AZ 86332

Officer/Director/Trustee Three

JUDY GARNER
SECRETARY/TREASURER
18205 W BUCKHORN
PEEPLES VALLEY AZ 86332

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/20/1996
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M11 - Single Organization Support
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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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