FORM 1023-EZ for BROOKSVILLE VOLUNTEER FIRE DEPARTMENT ASSOCIATION

Field Data
EIN 50-0532139
Case Number EO-2016362-000247
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BROOKSVILLE VOLUNTEER FIRE DEPARTMENT ASSOCIATION
Organization’s Mailing Address P O BOX 243
City BROOKSVILLE
State ME
ZIP 04617
Accounting period End 12
Primary contact name DAVID A COOMER III
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NED HILDRETH
SECRETARY
34 JARVIS GRAY ROAD
HARBORSIDE ME 04642

Officer/Director/Trustee Two

DAVID A COOMER III
TREASURER
498 VARNUMVILLE ROAD
BROOKSVILLE ME 04617

Officer/Director/Trustee Three

MATT DOW
PRESIDENT
16 C PIERCES POND ROAD
BROOKSVILLE ME 04617

Officer/Director/Trustee Four

BRUCE AUSTIN
DIRECTOR
246 VARNUMVILLE ROAD
BROOKSVILLE ME 04617

Officer/Director/Trustee Five

DANIEL MITCHELL
DIRECTOR
2204 COASTAL ROAD
BROOKSVILLE ME 04617

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2000
Organization Incorporation State ME
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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