FORM 1023-EZ for EVANSDALE VOLUNTEER FIRE DEPARTMENTASSOCIATION

Field Data
EIN 42-1243574
Case Number EO-2017079-000037
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EVANSDALE VOLUNTEER FIRE DEPARTMENTASSOCIATION
Organization’s Mailing Address 911 S EVANS RD
City EVANSDALE
State IA
ZIP 50707
Accounting period End 12
Primary contact name MARCUS A NORMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSHUA RICHTER
SEC/TREASURER
724 BROOKSIDE AVE
EVANSDALE IA 50707

Officer/Director/Trustee Two

JUSTIN SMOCK
VICE PRESIDENT
1742 TIMBERLINE DR
EVANSDALE IA 50707

Officer/Director/Trustee Three

ERIC FRICKSON
DIRECTOR
217 EAST END
EVANSDALE IA 50707

Officer/Director/Trustee Four

MARCUS NORMAN
PRESIDENT
402 MC COY RD
ELK RUN HEGHTS IA 50707

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/25/2013
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 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 Yes
Disaster relief assistance Yes
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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