FORM 1023-EZ for CHEROKEE COUNTY FIRE DISTRICT NO 1 LOLA TOWNSHIP

Field Data
EIN 46-2742363
Case Number EO-2016315-000320
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHEROKEE COUNTY FIRE DISTRICT NO 1 LOLA TOWNSHIP
Organization’s Mailing Address 9211 SW PELICAN LANE
City COLUMBUS
State KS
ZIP 66725
Accounting period End 12
Primary contact name JAY L JUSTICE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAY L JUSTICE
CHAIRMAN
9185 SW QUAKER ROAD
CHETOPA KS 67336

Officer/Director/Trustee Two

JIM E HALL
VICE CHAIRMAN
11965 SW CLEM ROAD
CHETOPA KS 67336

Officer/Director/Trustee Three

FRIEDA HALL
SECRETARY
208 SW 92ND TERRACE
COLUMBUS KS 66725

Officer/Director/Trustee Four

LAUREN JOHNSON
TREASURER
9216 SW QUAKER ROAD
CHETOPA KS 67336

Officer/Director/Trustee Five

JAMES JOHNSON
FIRE CHIEF
P O BOX 8
WEST MINERAL KS 66762

Organization’s website N/A
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/24/2013
Organization Incorporation State KS
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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