FORM 1023-EZ for ALASKA STATE FIREFIGHTERS ASSOCIATION TANANA VALLEY CHAPTER

Field Data
EIN 83-1652845
Case Number EO-2019121-000238
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ALASKA STATE FIREFIGHTERS ASSOCIATION TANANA VALLEY CHAPTER
Organization’s Mailing Address PO BOX 56035
City NORTH POLE
State AK
ZIP 99705
Accounting period End 12
Primary contact name ANDREW ROSSOW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREW ROSSOW
PRESIDENT
1374 BLACKBERRY DR
FAIRBANKS AK 99712

Officer/Director/Trustee Two

DONOVAN GLADE
VICE PRESIDENT
2145 PUELLA ST
NORTH POLE AK 99705

Officer/Director/Trustee Three

LEVI WEIS
SECRETARY/TREASURER
284 GOLDSTREAM RD
FAIRBANKS AK 99712

Officer/Director/Trustee Four

DAVE BODDY
TRUSTEE
3791 LAKEWOOD LOOP
NORTH POLE AK 99705

Officer/Director/Trustee Five

RUTH CHURCH
TRUSTEE
6000 CHENA HOT SPRINGS ROAD
FAIRBANKS AK 99712

Organization’s website HTTP://WWW.ALASKASTATEFIREFIGHTERS.ORG/MEMBERS/CHAPTERS/TANANAVALLEY.ASPX
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/10/68
Organization Incorporation State AK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y99 - Mutual/Membership Benefit Organizations, 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 Yes
Disaster relief assistance Yes
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 ANDREW ROSSOW
Signature Title PRESIDENT
Signature Date 4/29/19

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