FORM 1023-EZ for LA CONNER VOLUNTEER FIRE DEPARTMENT

Field Data
EIN 38-4121531
Case Number EO-2019190-000323
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LA CONNER VOLUNTEER FIRE DEPARTMENT
Organization’s Mailing Address 12142 CHILBERG RD
City LA CONNER
State WA
ZIP 98257
Accounting period End 12
Primary contact name WYLIE THULEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DYLAN WATKINS
PRESIDENT
12412 CHILBERG RD
LA CONNER WA 98257

Officer/Director/Trustee Two

WYLIE THULEN
VICE PRESIDENT
12818 DODGE VALLEY RD
MOUNT VERNON WA 98273

Officer/Director/Trustee Three

WYLIE THULEN
SECRETARY
18122 BEST RD
MOUNT VERNON WA 98273

Officer/Director/Trustee Four

ROGER BYRN
TREASURER
15656 LA CONNER WHITNEY RD
LA CONNER WA 98257

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/5/63
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M60 - Public Safety
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name WYLIE THULEN
Signature Title SECRETARY
Signature Date 7/5/19

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