FORM 1023-EZ for MARTINDALE FIREFIGHTERS RELIEF

Field Data
EIN 23-2840842
Case Number EO-2017131-000332
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MARTINDALE FIREFIGHTERS RELIEF
Organization’s Mailing Address PO BOX 2321
City MARTINDALE
State PA
ZIP 17549
Accounting period End 12
Primary contact name LAVERN MARTIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROGER STAUFFER
PRESIDENT
507 GRISTMILL ROAD
EPHRATA PA 17522

Officer/Director/Trustee Two

SHELDON MARTIN
VICE PRESIDENT
114 HURST ROAD
EPHRATA PA 17522

Officer/Director/Trustee Three

HERBERT MARTIN
SECRETARY
985 SMOKETOWN RD
DENVER PA 17517

Officer/Director/Trustee Four

JAY EVAN HORNING
ASST SECRETARY
947 MARTINDALE ROAD
EPHRATA PA 17522

Officer/Director/Trustee Five

LAVERN MARTIN
TREASURER
503 GRISTMILL ROAD
EPHRATA PA 17522

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2016
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M20 - Disaster Preparedness and Relief Services
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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