FORM 1023-EZ for WEST CENTRAL FIRE DEPARTMENT ASSOCIATION INC

Field Data
EIN 81-1242567
Case Number EO-2016228-000432
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WEST CENTRAL FIRE DEPARTMENT ASSOCIATION INC
Organization’s Mailing Address 100 WEST 2ND ST SO PO BOX 427
City COTTONWOOD
State MN
ZIP 56229
Accounting period End 12
Primary contact name JEREMY DIEKEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DALE LOUWAGIE
PRESIDENT
3264 CO RD 10
COTTONWOOD MN 56229

Officer/Director/Trustee Two

BRANDON JESERITZ
VICE PRESIDENT
183 BARSTAD RD
COTTONWOOD MN 56229

Officer/Director/Trustee Three

JEREMY DIEKEN
SECRETARY TREASURER
1645 480TH ST
COTTONWOOD MN 56229

Organization’s website
Organization’s email WESTCENTRALFIRE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/20/2016
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M40 - Safety Education
Organization’s purpose Charitable: No
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 Yes
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
Signature Title
Signature Date

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