FORM 1023-EZ for FREDERICKSBURG FIREFIGHTERS ASSOCIATION

Field Data
EIN 42-1212937
Case Number EO-2014231-000082
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FREDERICKSBURG FIREFIGHTERS ASSOCIATION
Organization’s Mailing Address 100 FALCON DRIVE
City FREDERICKSBURG
State IA
ZIP 50630
Accounting period End 6
Primary contact name RAY ARMBRECHT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RAY ARMBRECHT
CHIEF
103 OAK STREET
FREDERICKSBURG IA 50630

Officer/Director/Trustee Two

JAMES MITCHELL
ASSISTANT CHIEF
306 EAST RAILROAD
FREDERICKSBURG IA 50630

Officer/Director/Trustee Three

MARK KRUTHOFF
SECRETARY
521 NORTH WASHINGTON
FREDERICKSBURG IA 50630

Organization’s website
Organization’s email FBURGFIRE@IOWATELECOM.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/15/2010
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: Yes
Educational: Yes
Scientific: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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