FORM 1023-EZ for WELLSBURG VOLUNTEER FIRE DEPARTMENTINC

Field Data
EIN 82-2498329
Case Number EO-2017237-000100
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WELLSBURG VOLUNTEER FIRE DEPARTMENTINC
Organization’s Mailing Address PO BOX 23
City WELLSBURG
State NY
ZIP 14894
Accounting period End 12
Primary contact name REGINALD PIATT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATTHEW HOLMES
PRESIDENT
3668 E 5TH ST
WELLSBURG NY 14894

Officer/Director/Trustee Two

REGINALD PIATT
TREASURER
2219 COUNTY ROUTE 60
ELMIRA NY 14901

Officer/Director/Trustee Three

ANDREW COLES
COMMISSIONER
255 CHURCH ST
WELLSBURG NY 14894

Officer/Director/Trustee Four

MARTY CRAIG
COMMISSIONER
PO BOX 23
WELLSBURG NY 14894

Officer/Director/Trustee Five

JEFF STOQUERT
COMMISSIONER
PO BOX 23
WELLSBURG NY 14894

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/13/2017
Organization Incorporation State NY
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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