FORM 1023-EZ for WILLISTON RURAL FIRE ASSOCIATION

Field Data
EIN 83-1361032
Case Number EO-2018211-000103
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WILLISTON RURAL FIRE ASSOCIATION
Organization’s Mailing Address 1200 11TH STREET WEST
City WILLISTON
State ND
ZIP 58801
Accounting period End 12
Primary contact name TAYLOR D OLSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON ARNSON
PRESIDENT
1200 11TH STREET WEST
WILLISTON ND 58801

Officer/Director/Trustee Two

LANE CHRISTIANSON
VICE-PRESIDENT
1200 11TH STREET WEST
WILLISTON ND 58801

Officer/Director/Trustee Three

JEFF CLARKE
SECRETARY/TREASURER
4977 EVERSON DR
WILLISTON ND 58801

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/11/18
Organization Incorporation State ND
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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 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 JEFF CLARKE
Signature Title SECRETARY/TREASURER
Signature Date 7/26/18

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