FORM 1023-EZ for DELMAR VOLUNTEER FIRE RESCUE DEPARTMENT

Field Data
EIN 81-4240283
Case Number EO-2016312-000508
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DELMAR VOLUNTEER FIRE RESCUE DEPARTMENT
Organization’s Mailing Address 12185 HIGHWAY 13
City HALEYVILLE
State AL
ZIP 35565
Accounting period End 12
Primary contact name LARSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LARSON TOLKACEVIC
CHIEF
762 COUNTY ROAD 37
HALEYVILLE AL 35565

Officer/Director/Trustee Two

CLAUDE CANTRELL
ASST CHIET
303 10TH STREET
HALEYVILLE AL 35565

Officer/Director/Trustee Three

BRYAN LANFORD
CPT.
74 HARBIN LANE
HALEYVILLE AL 35565

Organization’s website
Organization’s email DELMARVFD@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/26/2016
Organization Incorporation State AL
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: Yes
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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