FORM 1023-EZ for ST MATTHEWS FIRE DEPARTMENT ALUMNIASSOCIATION INCORPORATED

Field	Data
EIN	20-1373508
Case Number	EO-2019297-000337
Form 1023-EZ version	12018
Eligibility Worksheet	1
Organization Name	ST MATTHEWS FIRE DEPARTMENT ALUMNIASSOCIATION INCORPORATED
Organization’s Mailing Address	8125 W HIGHWAY 42
City	GOSHEN
State	KY
ZIP	40026
Accounting period End	12
Primary contact name	RICHARD H ALBERS
Primary contact phone	[Hidden]
Primary contact phone extension	[Hidden]
Primary contact fax	[Hidden]
User fee submitted	$275.00

Officer/Director/Trustee One

GAR DAVIS
PRESIDENT
2200 BROWNSBORO ROAD
LOUISVILLE KY 40206

Officer/Director/Trustee Two

RICHARD ALBERS
SECRETARY TREASURER
8125 W HIGHWAY 42
GOSHEN KY 40026

Officer/Director/Trustee Three

JOHN MONOHAN III
VICE-PRESIDENT
410 CHERRYWOOD ROAD
LOUISVILLE KY 40207

Officer/Director/Trustee Four

CLARKE FENIMORE
DIRECTOR
4083 GILMAN AVENUE
LOUISVILLE KY 40207

Officer/Director/Trustee Five

MIKE NOON
DIRECTOR
2817 YORKSHIRE BLVD
LOUISVILLE KY 40220

Organization’s website
Organization’s email	RICK.ALBERS@MIRAZON.COM
Organization Incorporated	Yes
Organization trust	No
Necessary Organizing Documents	Yes
Organization Incorporation Date	7/15/04
Organization Incorporation State	KY
Contains Limitation	Yes
Does not expressly empower	Yes
Contains dissolution	Yes
National Taxonomy of Exempt Entities (NTEE) code	Y99 - Mutual/Membership Benefit Organizations, Other N.E.C.
Organization’s purpose	Charitable: Yes Religious: No Educational: Yes 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	No
Benefit of College	No
Private Foundation 508(e)	Yes
Seeking Retroactive Reinstatement	No
Seeking Section 7 Reinstatement	No
Correctness Declaration	Yes
Signature Name	RICHARD ALBERS
Signature Title	SECRETARY TREASURER
Signature Date	10/22/19
EIN	20-1373508
Case Number	EO-2019297-000337
Form 1023-EZ version	12018
Eligibility Worksheet	1
Organization Name	ST MATTHEWS FIRE DEPARTMENT ALUMNI ASSOCIATION INCORPORATED
Organization’s Mailing Address	8125 W HIGHWAY 42
City	GOSHEN
State	KY
ZIP	40026
Accounting period End	12
Primary contact name	RICHARD H ALBERS
Primary contact phone	[Hidden]
Primary contact phone extension	[Hidden]
Primary contact fax	[Hidden]
User fee submitted	$275.00