FORM 1023-EZ for HAYWKEYE VOLUNTEER FIRE AND RESCUEASSOCIATION INCORPORATED

Field Data
EIN 47-1139395
Case Number EO-2016162-000227
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HAYWKEYE VOLUNTEER FIRE AND RESCUEASSOCIATION INCORPORATED
Organization’s Mailing Address PO BOX 72 113 WEST MAIN ST
City HAWKEYE
State IA
ZIP 52147
Accounting period End 6
Primary contact name TY HALVERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DARREN SHULTZ
DIRECTOR
PO BOX 22
HAWKEYE IA 52147

Officer/Director/Trustee Two

DWAYNE KOCH
DIRECTOR
21462 Q AVE
HAWKEYE IA 52147

Officer/Director/Trustee Three

JEREMY EICKHOFF
DIRECTOR
PO BOX 202
HAWKEYE IA 52147

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/21/2014
Organization Incorporation State IA
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: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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