FORM 1023-EZ for DORRIS VOLUNTEER FIRE DEPARTMENT

Field Data
EIN 82-3505164
Case Number EO-2018016-000338
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DORRIS VOLUNTEER FIRE DEPARTMENT
Organization’s Mailing Address 309 S MAIN STREET
City DORRIS
State CA
ZIP 96023
Accounting period End 12
Primary contact name GARY CRADDOCK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WAYNE FROST
CEO
200 S OREGON ST
DORRIS CA 96023

Officer/Director/Trustee Two

GARY CRADDOCK
CFO
338 SAGE ST
DORRIS CA 96023

Officer/Director/Trustee Three

MIKE CRADDOCK
SECRETARY
234 N PINE ST
DORRIS CA 96023

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/27/17
Organization Incorporation State CA
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 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 GARY CRADDOCK
Signature Title CFO
Signature Date 1/11/18

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