FORM 1023-EZ for SOUTH BELOIT FIREFIGHTERS ASSOCIATION

Field Data
EIN 47-3669906
Case Number EO-2015103-000108
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTH BELOIT FIREFIGHTERS ASSOCIATION
Organization’s Mailing Address 429 GARDNER ST
City SOUTH BELOIT
State IL
ZIP 61080
Accounting period End 12
Primary contact name KURT J FAGO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MALCOLM REED
PRESIDENT
213 GOODHUE ST
SOUTH BELOIT IL 61080-1228

Officer/Director/Trustee Two

MICHAEL DAVENPORT
VICE-PRESIDENT
507 PIN OAK RD
ROCKTON IL 61072-8023

Officer/Director/Trustee Three

KURT FAGO
TREASURER
14797 MISTY MEADOW LN
SOUTH BELOIT IL 61080-2826

Organization’s website WWW.SOUTHBELOITFIRE.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/31/2015
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J03 - Professional Societies, Associations
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
Signature Title
Signature Date

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