FORM 1023-EZ for LATIMER - RURAL FIRE DEPARTMENT

Field Data
EIN 68-0531123
Case Number EO-2017227-000054
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LATIMER - RURAL FIRE DEPARTMENT
Organization’s Mailing Address P O BOX 493
City LATIMER
State IA
ZIP 50452
Accounting period End 6
Primary contact name DALE MCBRIDE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN FOLKERTS
CHIEF
1718 NETTLE AVE
HAMPTON IA 50441

Officer/Director/Trustee Two

KYLE PRALLE
ASST CHIEF
1271 JONQUIL AVE
HAMPTON IA 50441

Officer/Director/Trustee Three

TYLER DEBOUR
ASST CHIEF
1651 FINCH AVE
LATIMER IA 50452

Organization’s website
Organization’s email LATIMERFIRE@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/1902
Organization Incorporation State IA
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
Signature Title
Signature Date

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