FORM 1023-EZ for FRIENDS OF BLUE CREEK VOLUNTEER FIRE DEPARTMENT

Field Data
EIN 82-1389263
Case Number EO-2017125-000167
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS OF BLUE CREEK VOLUNTEER FIRE DEPARTMENT
Organization’s Mailing Address 2504 BLUE CREEK ROAD
City BILLINGS
State MT
ZIP 59101-9249
Accounting period End 12
Primary contact name LARA GUERCIO - ATTORNEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACQUELYN YAMANAKA-WILLIAMS
PRESIDENT/TREASURER/DIRECTOR
2504 BLUE CREEK ROAD
BILLINGS MT 59101-9249

Officer/Director/Trustee Two

MICHAEL TETER
VICE-PRESIDENT/DIRECTOR
2504 BLUE CREEK ROAD
BILLINGS MT 59101-9249

Officer/Director/Trustee Three

MONICA RODENBERGER
SECRETARY/DIRECTOR
2504 BLUE CREEK ROAD
BILLINGS MT 59101-9249

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/2017
Organization Incorporation State MT
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: Yes
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
Signature Title
Signature Date

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