FORM 1023-EZ for MAYSVILLE IOWA VOLUNTEER FIRE DEPARTMENT INC

Field Data
EIN 61-1838191
Case Number EO-2016256-000250
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MAYSVILLE IOWA VOLUNTEER FIRE DEPARTMENT INC
Organization’s Mailing Address 7450 NEW LIBERTY RD
City WALCOTT
State IA
ZIP 52773
Accounting period End 12
Primary contact name ADAM HAMLY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TY ARP
CHIEF
9795 210TH ST
WALCOTT IA 52773

Officer/Director/Trustee Two

DAVID ARP
ASSISTANT CHIEF
10310 200TH ST
DAVENPORT IA 52804

Officer/Director/Trustee Three

JERRY STOLTENBERG
ASSISTANT CHIEF
24630 80TH AVE
WALCOTT IA 52773

Officer/Director/Trustee Four

ADAM HAMLY
TREASURER
24145 92ND AVE
WALCOTT IA 52773

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/20/1980
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 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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