FORM 1023-EZ for CLALLAM 3 VOLUNTEER FIREFIGHTERS ASSOC

Field Data
EIN 30-0733597
Case Number EO-2021221-000236
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLALLAM 3 VOLUNTEER FIREFIGHTERS ASSOC
Organization’s Mailing Address 323 N 5TH AVE
City SEQUIM
State WA
ZIP 98382-3313
Accounting period End 12
Primary contact name THARIN HUISMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THARIN HUISMAN
PRESIDENT
323 N 5TH AVE
SEQUIM WA 98382-3313

Officer/Director/Trustee Two

JOHN BYRGIDER
VICE PRESIDENT
323 N 5TH AVE
SEQUIM WA 98382-3313

Officer/Director/Trustee Three

LORI COLEMAN
SECRETARY
323 N 5TH AVE
SEQUIM WA 98382-3313

Officer/Director/Trustee Four

MICHAEL MINGEE
TREASURER
323 N 5TH AVE
SEQUIM WA 98382-3313

Organization’s website
Organization’s email CCFD3VOLASSN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/13/2010
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - 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 Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name THARIN HUISMAN
Signature Title PRESIDENT
Signature Date 8/5/2021

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