FORM 1023-EZ for FIREMANS AUXILIARY ASSOCIATION OF MERTON

Field Data
EIN 83-2160999
Case Number EO-2018285-000028
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FIREMANS AUXILIARY ASSOCIATION OF MERTON
Organization’s Mailing Address PO BOX 911
City MERTON
State WI
ZIP 53056
Accounting period End 12
Primary contact name BECKY DOROW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BECKY DOROW
PRESIDENT
PO BOX 568
MERTON WI 53056

Officer/Director/Trustee Two

JENNIFER HOFSTETTER
VP COMMUNICATIONS
N87 W28698 SCOTT LANE
HARTLAND WI 53029

Officer/Director/Trustee Three

SHAWN HOFSTETTER
SECRETARY
N87 W28698 SCOTT LANE
HARTLAND WI 53029

Officer/Director/Trustee Four

JIM PAULSEN
TREASURER
W280 N9048 HIDEAWAY DR
HARTLAND WI 53029

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/10/18
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
Disaster relief assistance Yes
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BECKY DOROW
Signature Title PRESIDENT
Signature Date 10/10/18

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