FORM 1023-EZ for POPLAR RIDGE FIRE COMPANY

Field Data
EIN 81-3311552
Case Number EO-2021096-001492
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name POPLAR RIDGE FIRE COMPANY
Organization’s Mailing Address PO BOX 55
City POPLAR RIDGE
State NY
ZIP 13139-0055
Accounting period End 12
Primary contact name JACQUELINE DICKINSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACQUELINE DICKINSON
PRESIDENT
1710 POPLAR RIDGE RD
AURORA NY 13026

Officer/Director/Trustee Two

JAY CLARK
VICE PRESIDENT
1579 GOOSE LN
AURORA NY 13026

Officer/Director/Trustee Three

BRUCE BESNER
TREASURER
4185 STATE ROUTE 34B
UNION SPRINGS NY 13160

Officer/Director/Trustee Four

KELLY BURCHIM
SECRETARY
2378 KENYON RD
VENICE CENTER NY 13147

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/18/1984
Organization Incorporation State NY
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 JACQUELINE DICKINSON
Signature Title PRESIDENT
Signature Date 3/11/2021
EIN 81-3311552
Case Number EO-2021096-001492
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name POPLAR RIDGE FIRE COMPANY
Organization’s Mailing Address PO BOX 55
City POPLAR RIDGE
State NY
ZIP 13139-0055
Accounting period End 12
Primary contact name JACQUELINE DICKINSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACQUELINE DICKINSON
PRESIDENT
1710 POPLAR RIDGE RD
AURORA NY 13026

Officer/Director/Trustee Two

JAY CLARK
VICE PRESIDENT
1579 GOOSE LN
AURORA NY 13026

Officer/Director/Trustee Three

BRUCE BESNER
TREASURER
4185 STATE ROUTE 34B
UNION SPRINGS NY 13160

Officer/Director/Trustee Four

KELLY BURCHIM
SECRETARY
2378 KENYON RD
VENICE CENTER NY 13147

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/18/1984
Organization Incorporation State NY
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 JACQUELINE DICKINSON
Signature Title PRESIDENT
Signature Date 3/11/2021

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