FORM 1023-EZ for NOVELTY-PLEVNA COMMUNITY RURAL FIREDEPARTMENT INC

Field Data
EIN 43-1316508
Case Number EO-2014237-000225
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NOVELTY-PLEVNA COMMUNITY RURAL FIREDEPARTMENT INC
Organization’s Mailing Address 56042 PIKE ST
City NOVELTY
State MO
ZIP 63460
Accounting period End 12
Primary contact name BOBBI D CLARK CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BEN BRADLEY
PRESIDENT
50019 NORTH RIVER ST
NOVELTY MO 63460

Officer/Director/Trustee Two

KIM HALL
VICE PRESIDENT
RR 1 BOX 291
NOVELTY MO 63460

Officer/Director/Trustee Three

RANDY DOSS
SECRETARY/TREASURER
56042 PIKE ST
NOVELTY MO 63460

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/17/1983
Organization Incorporation State MO
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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