FORM 1023-EZ for WASHTA COMMUNITY FIRE SERVICE INC

Field Data
EIN 42-1706117
Case Number EO-2018078-000288
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WASHTA COMMUNITY FIRE SERVICE INC
Organization’s Mailing Address 316 MAIN STREET
City WASHTA
State IA
ZIP 51061
Accounting period End 12
Primary contact name JERRY TOWNSEND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JUSTIN EBERT
FIRE CHEIF
691 630TH STREET
WASHTA IA 51061

Officer/Director/Trustee Two

JAMIE DEWITT
TREASURER
682 650TH STREET
WASHTA IA 51061

Officer/Director/Trustee Three

JERRY TOWNSEND
TRUSTEE
6371 E AVE
WASHTA IA 51061

Officer/Director/Trustee Four

LARRY PATTERSON
FIRE BOARD CHAIRMAN
500 STRATTON ST
WASHTA IA 51061

Organization’s website
Organization’s email WASHTAFIRERESCUE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/27/81
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M24 - Fire Prevention, Protection, Control
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: Yes
Amateur Sports: No
Cruelty Prevention: Yes
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 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 JERRY TOWNSEND
Signature Title TRUSTEE
Signature Date 3/15/18

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