FORM 1023-EZ for PEARDALE-CHICAGO PARK FIREFIGHTERSASSOCIATION

Field Data
EIN 26-2613514
Case Number EO-2019248-000168
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PEARDALE-CHICAGO PARK FIREFIGHTERSASSOCIATION
Organization’s Mailing Address PO BOX 697
City CHICAGO PARK
State CA
ZIP 95712
Accounting period End 12
Primary contact name BILL TANGREN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICK BLAKEMORE
PRESIDENT
13635 MEADOWS END
GRASS VALLEY CA 95945

Officer/Director/Trustee Two

RODNEY JOHNSON
VICE PRESIDENT
PO BOX 218
CHICAGO PARK CA 95712

Officer/Director/Trustee Three

KEN ZEFF
SECRETARY-TREASURE
PO BOX 820
CHICAGO PARK CA 95712

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/22/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M11 - Single Organization Support
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 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 RICK BLAKEMORE
Signature Title PRESIDENT
Signature Date 9/3/19
EIN 26-2613514
Case Number EO-2019248-000168
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PEARDALE-CHICAGO PARK FIREFIGHTERS ASSOCIATION
Organization’s Mailing Address PO BOX 697
City CHICAGO PARK
State CA
ZIP 95712
Accounting period End 12
Primary contact name BILL TANGREN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICK BLAKEMORE
PRESIDENT
13635 MEADOWS END
GRASS VALLEY CA 95945

Officer/Director/Trustee Two

RODNEY JOHNSON
VICE PRESIDENT
PO BOX 218
CHICAGO PARK CA 95712

Officer/Director/Trustee Three

KEN ZEFF
SECRETARY-TREASURE
PO BOX 820
CHICAGO PARK CA 95712

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/22/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M11 - Single Organization Support
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 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 RICK BLAKEMORE
Signature Title PRESIDENT
Signature Date 9/3/19

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