FORM 1023-EZ for PROSPECT VONUNTEER FIREMENS RELIEFASSOCIATION

Field Data
EIN 80-0491208
Case Number EO-2021090-000686
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PROSPECT VONUNTEER FIREMENS RELIEFASSOCIATION
Organization’s Mailing Address 373 MAIN STREET
City PROSPECT
State PA
ZIP 16052
Accounting period End 12
Primary contact name JESSICA PARKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAM WAGNER
PRESIDENT
387 MAIN STREET
PROSPECT PA 16052

Officer/Director/Trustee Two

GREG PARKER
VICE PRESIDENT
628 UNIONVILLE RD
BUTLER PA 16001

Officer/Director/Trustee Three

JESSICA PARKER
TREASURER
628 UNIONVILLE RD
BUTLER PA 16001

Officer/Director/Trustee Four

SCOTT HAINLEY
FINANCIAL SECRETARY
2144 PROSPECT RD
PROSPECT PA 16052

Officer/Director/Trustee Five

RICK BRAIN
TRUSTEE
128 S FRANKLIN STREET
PROSPECT PA 16052

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/31/2009
Organization Incorporation State PA
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SAM WAGNER
Signature Title PRESIDENT
Signature Date 2/17/2021

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