FORM 1023-EZ for BATTLE CREEK FIREFIGHTERS ASSOCIATION

Field Data
EIN 83-1927764
Case Number EO-2018312-000079
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BATTLE CREEK FIREFIGHTERS ASSOCIATION
Organization’s Mailing Address 13730 HIGHWAY 40
City KEYSTONE
State SD
ZIP 57751
Accounting period End 12
Primary contact name BRAD LINDBLOM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRAD LINDBLOM
PRESIDENT
24201 SHWY 79
HERMOSA SD 57744

Officer/Director/Trustee Two

DALE GADBOIS
VICE PRESIDENT
13876 BOX CANYON RD
HERMOSA SD 57744

Officer/Director/Trustee Three

MATTHEW RODER
SECRETARY
13835 SD HWY 40
HERMOSA SD 57744

Officer/Director/Trustee Four

PAT BECHARD
TREASURER
PO BOX 194
HERMOSA SD 57744

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/15/17
Organization Incorporation State SD
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: 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 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 BRAD LINDBLOM
Signature Title PRESIDENT
Signature Date 11/5/18

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