FORM 1023-EZ for ABSAROKEE FIRE AND AMBULANCE ASSOCIATION

Field Data
EIN 82-1875963
Case Number EO-2017173-000349
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ABSAROKEE FIRE AND AMBULANCE ASSOCIATION
Organization’s Mailing Address 226 N MONTANA AVENUE
City ABSAROKEE
State MT
ZIP 59001
Accounting period End 12
Primary contact name JOSEPH LOHOF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIM ZUMBRUN
PRESIDENT
106 WEAST AVENUE
ABSAROKEE MT 59001

Officer/Director/Trustee Two

JOSEPH LOHOF
BOARD MEMBER
226 N MONTANA AVENUE
ABSAROKEE MT 59001

Officer/Director/Trustee Three

GEORGI HAMEL
BOARD MEMBER
763 STOCKADE ROAD
ABSAROKEE MT 59001

Officer/Director/Trustee Four

CODY KELLER
BOARD MEMBER
30 STILLWATER DRIVE
ABSAROKEE MT 59001

Officer/Director/Trustee Five

CHRIS GUNDERSON
BOARD MEMBER
6 ALISON DRIVE
ABSAROKEE MT 59001

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/8/2017
Organization Incorporation State MT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M12 - Fund Raising and/or Fund Distribution
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 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 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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