FORM 1023-EZ for FIREFIGHTER SUICIDE AWARENESS

Field Data
EIN 83-1585269
Case Number EO-2019121-000241
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FIREFIGHTER SUICIDE AWARENESS
Organization’s Mailing Address 23133 STATE 287
City LONG PRAIRIE
State MN
ZIP 56347-5300
Accounting period End 12
Primary contact name JOHNNY SAARELA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KELLY SAARELA
PRESIDENT
23133 STATE 287
LONG PRAIRIE MN 56347-5300

Officer/Director/Trustee Two

JOHNNY SAARELA
SECRETARY
23133 STATE 287
LONG PRAIRIE MN 56347-5300

Officer/Director/Trustee Three

MELISSA BURCH
TREASURER
6833 S VILLAGE RD
SALT LAKE CITY UT 84121-2929

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/15/18
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F80 - Mental Health Association, Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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 MELISSA BURCH
Signature Title TREASURER
Signature Date 4/29/19

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