FORM 1023-EZ for FOND DU LAC COUNTY FIRE CHIEFS ASSOCIATION

Field Data
EIN 39-2036144
Case Number EO-2016364-000118
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FOND DU LAC COUNTY FIRE CHIEFS ASSOCIATION
Organization’s Mailing Address N9660 VAN DYNE RD
City VAN DYNE
State WI
ZIP 54979
Accounting period End 12
Primary contact name DAVE BABLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVE BABLER
TREARSURER
N9660 VAN DYNE ROAD
VAN DYNE WI 54979

Officer/Director/Trustee Two

MICHAEL BECKER
PRESIDENT
N9686 VAN DYNE ROAD
VAN DYNE WI 54979

Officer/Director/Trustee Three

BJ DEMAA
DIRECTOR
5 RIVERVIEW COURT
WAUPUN WI 53963

Officer/Director/Trustee Four

JOESPH BIRSCHBACH
DIRECTOR
N5309 HILLCREST ROAD
FOND DU LAC WI 54937

Officer/Director/Trustee Five

CORY KOK
DIRECTOR
N3495 COUNTY ROAD EE
WAUPUN WI 53963

Organization’s website NA
Organization’s email VDFD@CHARTER.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/24/2016
Organization Incorporation State WI
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 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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