FORM 1023-EZ for OLMSTEAD RURAL FIRE DEPARTMENT

Field Data
EIN 61-1040291
Case Number EO-2016273-000320
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OLMSTEAD RURAL FIRE DEPARTMENT
Organization’s Mailing Address 2210 OLMSTEAD ROAD
City OLMSTEAD
State KY
ZIP 42265
Accounting period End 12
Primary contact name LYNN DAWSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHNNY DAWSON
PRESIDENT
2446 FERGUSON ROAD
RUSSELLVILLE KY 42276

Officer/Director/Trustee Two

MARTHA DAWSON
SECRETARY
2210 OLMSTEAD ROAD
OLMSTEAD KY 42265

Officer/Director/Trustee Three

LYNN DAWSON
TREASURER
2210 OLMSTEAD ROAD
OLMSTEAD KY 42265

Officer/Director/Trustee Four

DAN KEMP
DIRECTOR
258 KEMP LANE
OLMSTEAD KY 42265

Officer/Director/Trustee Five

JIMMY WILSON
DIRECTOR
4524 WATERMELON ROAD
OLMSTEAD KY 42265

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/24/1986
Organization Incorporation State KY
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 Yes
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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