FORM 1023-EZ for RENWICK FIRE DEPARTMENT INC

Field Data
EIN 47-1268693
Case Number EO-2015266-000220
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RENWICK FIRE DEPARTMENT INC
Organization’s Mailing Address PO BOX 83
City RENWICK
State IA
ZIP 50577
Accounting period End 12
Primary contact name JOSHUA D LIPPOLT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOSHUA D LIPPOLT
PRESIDENT/TREASURER
1375 UTAH AVE
HARDY IA 50545

Officer/Director/Trustee Two

MATTHEW TRASK
VICE PRESIDENT
1725 YORK AVE
RENWICK IA 50577

Officer/Director/Trustee Three

ADAM SOERTSCH
SECRETARY
212 SOUTH SMITH RD
RENWICK IA 50577

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/17/2014
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: 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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