FORM 1023-EZ for SHELL VALLEY VOLUNTEER FIRE DEPARTMENT

Field Data
EIN 84-2209542
Case Number EO-2019178-000261
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHELL VALLEY VOLUNTEER FIRE DEPARTMENT
Organization’s Mailing Address PO BOX 112
City SHELL
State WY
ZIP 82441
Accounting period End 12
Primary contact name KEVIN CLARK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAWRENCE SNYDER JR
CHIEF
PO BOX 53
SHELL WY 82441

Officer/Director/Trustee Two

WESLEY HUBER
ASSISTANT CHIEF
838 US HIGHWAY 14
GREYBULL WY 82426

Officer/Director/Trustee Three

KEVIN CLARK
SECRETARY/TREASURER
PO BOX 85
SHELL WY 82441

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/6/78
Organization Incorporation State WY
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 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 KEVIN CLARK
Signature Title SECRETARY/TREASURER
Signature Date 6/25/19

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