FORM 1023-EZ for MEDIAPOLIS FIREFIGHTERS ASSOCIATION

Field Data
EIN 47-4690235
Case Number EO-2015301-000163
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MEDIAPOLIS FIREFIGHTERS ASSOCIATION
Organization’s Mailing Address 412 MAIN STREET
City MEDIAPOLIS
State IA
ZIP 52637-0430
Accounting period End 6
Primary contact name NATE GERLING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TROY GARRISON
DIRECTOR
508 N NORTHFIELD ST
MEDIAPOLIS IA 52637

Officer/Director/Trustee Two

ANDY KERR
DIRECTOR
17646 IRISH RIDGE RD
SPERRY IA 52650

Officer/Director/Trustee Three

NATHAN GERLING
DIRECTOR
1224 MAIN ST
MEDIAPOLIS IA 52637-0695

Officer/Director/Trustee Four

RAY WILSON
DIRECTOR
331 SUNNYSIDE ST
MEDIAPOLIS IA 52637

Officer/Director/Trustee Five

ROBERT VANCE
DIRECTOR
401 MEADOW ST
MEDIAPOLIS IA 52637

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/14/2014
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 Yes
One Third Support Gifts No
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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