FORM 1023-EZ for RIVES TOMPKINS FIREMAN ASSOCIATION

Field Data
EIN 46-3443555
Case Number EO-2016193-000267
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RIVES TOMPKINS FIREMAN ASSOCIATION
Organization’s Mailing Address 7975 WOODARD RD
City RIVES JUNCTION
State MI
ZIP 49277
Accounting period End 12
Primary contact name ABBY SURBROOK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ABBY SURBROOK
PRESIDENT
9486 DIXON RD
RIVES JUNCTION MI 49277

Officer/Director/Trustee Two

JAKE MIETELKA
VICE PRESIDENT
9200 CLINTON RD
JACKSON MI 49201

Officer/Director/Trustee Three

FAYE WEBER
TREASURER
3231 TRUMBULL LAKE RD
RIVES JUNCTION MI 49277

Officer/Director/Trustee Four

RHONDA HUNTER
SECRETARY
1971 GRAND RIVER RD
RIVES JUNCTION MI 49277

Officer/Director/Trustee Five

MATT PHILLIPS
DIRECTOR
3254 PERRINE RD
RIVES JUNCTION MI 49277

Organization’s website
Organization’s email RTFA3814@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/17/2016
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M12 - Fund Raising and/or Fund Distribution
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 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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