FORM 1023-EZ for TRI-RIVERS FIREMANS ASSOCIATION

Field Data
EIN 76-0396131
Case Number EO-2019071-000822
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TRI-RIVERS FIREMANS ASSOCIATION
Organization’s Mailing Address 13112 HWY 6
City SANTE FE
State TX
ZIP 77510-7680
Accounting period End 12
Primary contact name FRANK MARCINKIEWICZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FRANK MARCINKIEWICZ
TRUSTEE
11438 NEWBERG RD
CAT SPRING TX 78933

Officer/Director/Trustee Two

MARK LANCASTER
PRESIDENT
13112 HWY 6
SANTE FE TX 77510

Officer/Director/Trustee Three

ROBERT VAN DINE
TRUSTEE
302 W HOUSE ST
ALVIN TX 77511

Officer/Director/Trustee Four

MIKE RICHTER
TREASURER
P O BOX 374
NEEDVILLE TX 77461

Officer/Director/Trustee Five

ANTHONY CARGILE
SECRETARY
13112 HWY 6
SANTE FE TX 77510

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/17/18
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: Yes
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 Yes
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 FRANK MARCINKIEWICZ
Signature Title TRUSTEE
Signature Date 3/8/19

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