FORM 1023-EZ for HULL FIREFIGHTERS ASSOCIATION

Field Data
EIN 47-5074791
Case Number EO-2015294-000238
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HULL FIREFIGHTERS ASSOCIATION
Organization’s Mailing Address 1613 6TH STREET
City HULL
State IA
ZIP 51239
Accounting period End 12
Primary contact name ERIC HAVEMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GREG VAN ROEKEL
PRESIDENT
518 2ND STREET
HULL IA 51239

Officer/Director/Trustee Two

MIKE VAN OTTERLOO
VICE-PRESIDENT - ASST CHEIF #1
808 CHESTNUT DRIVE
HULL IA 51239

Officer/Director/Trustee Three

ERIC HAVEMAN
SECRETARY/TREASURER
1613 6TH STREET
HULL IA 51239

Officer/Director/Trustee Four

MIKE VAN ES
VICE-PRESIDENT
1120 7TH STREET
HULL IA 51239

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/28/2015
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M01 - Alliance/Advocacy Organizations
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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