FORM 1023-EZ for LAMOILLE VOLUNTEER FIRE DEPARTMENT

Field Data
EIN 83-2119895
Case Number EO-2018319-000121
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAMOILLE VOLUNTEER FIRE DEPARTMENT
Organization’s Mailing Address PO BOX 1212
City LAMOILLE
State NV
ZIP 89828
Accounting period End 12
Primary contact name JOE DEBRAGA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JESS SUSTACHA
PRESIDENT
HC 36 BOX 507
LAMOILLE NV 89828

Officer/Director/Trustee Two

KAITLIN REED
TREASURER
168 PLEASANT VALLEY RD 315
SPRING CREEK NV 89815

Officer/Director/Trustee Three

JOE DE BRAGA
SECRETARY
HC 36 BOX 510
LAMOILLE NV 89828

Officer/Director/Trustee Four

MATHEW NELSON
DIRECTOR
HC 36 BOX 580
LAMOILLE NV 89828

Officer/Director/Trustee Five

JOE PAYNE
DIRECTOR
281214 LAMOILLE HWY
LAMOILLE NV 89828

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/15
Organization Incorporation State NV
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 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 JOE DE BRAGA
Signature Title SECRETARY
Signature Date 11/13/18

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