FORM 1023-EZ for KLEBERG COUNTY FIRE RESCUE

Field Data
EIN 47-4197883
Case Number EO-2015159-000549
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KLEBERG COUNTY FIRE RESCUE
Organization’s Mailing Address 202 WEST COUNTY ROAD 2160
City KINGSVILLE
State TX
ZIP 78363
Accounting period End 9
Primary contact name JUSTINHARRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JUSTIN HARRIS
PRESIDENT CHIEF
501 E 10TH
BISHOP TX 78343

Officer/Director/Trustee Two

PATRICK GUZMAN
OPERATION CHIEF
202 W CR 2160
KINGSVILLE TX 78363

Officer/Director/Trustee Three

BRANDON HARRIS
ASST CHIEF TREASURER
616 E WARREN
KINGSVILLE TX 78363

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/2/2014
Organization Incorporation State TX
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 Yes
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 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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