FORM 1023-EZ for NORTH CENTRAL FIRE DISTRICT FOUNDATION

Field Data
EIN 84-4356488
Case Number EO-2020034-000444
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTH CENTRAL FIRE DISTRICT FOUNDATION
Organization’s Mailing Address 15850 W KEARNEY BLVD
City KERMAN
State CA
ZIP 93630
Accounting period End 12
Primary contact name MARK PETERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIMOTHY HENRY
PRESIDENT
15850
KERMAN CA 93630

Officer/Director/Trustee Two

ANDY ISOLANO
SECRETARY
15850 W KEARNEY BLVD
KERMAN CA 93630

Officer/Director/Trustee Three

JOE BARCELOS
TREASURER
15850 W KEARNEY BLVD
KERMAN CA 93630

Officer/Director/Trustee Four

MARK PETERSON
DIRECTOR
1300 E SHAW AVE
FRESNO CA 93710

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/26/2019
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 MARK PETERSON
Signature Title DIRECTOR
Signature Date 1/31/2020

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