FORM 1023-EZ for HAWKEYE STATE FIRE SAFETY ASSOCIATION

Field Data
EIN 42-1473313
Case Number EO-2016309-000294
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HAWKEYE STATE FIRE SAFETY ASSOCIATION
Organization’s Mailing Address 290 NORMAN DR NE
City CEDAR RAPIDS
State IA
ZIP 52402
Accounting period End 12
Primary contact name JAMES THATCHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

OREY SCHWITZER
PRESIDENT
1501 5TH ST
CORALVILLE IA 52241

Officer/Director/Trustee Two

MARK DOOLEY
VICE PRESIDENT
2715 DEAN AVE
DES MOINES IA 50317-1367

Officer/Director/Trustee Three

BRYAN HARDIN
TREASURER
410 WASHINGTON ST
IOWA CITY IA 52240

Officer/Director/Trustee Four

JAMES THATCHER
SECRETARY
290 NORMAN DR NE
CEDAR RAPIDS IA 52402

Officer/Director/Trustee Five

KURT WESTHOFF
BOARD MEMBER
PO BOX 65320
WEST DES MOINES IA 50265

Organization’s website
Organization’s email HSFSABOARD@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/22/2016
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: No
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 Yes
Donation of funds Yes
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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