FORM 1023-EZ for WOLSEY FIREFIGHTER ASSOCIATION INC

Field Data
EIN 47-3595438
Case Number EO-2021127-000212
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WOLSEY FIREFIGHTER ASSOCIATION INC
Organization’s Mailing Address PO BOX 341
City WOLSEY
State SD
ZIP 57384
Accounting period End 12
Primary contact name DAVID JENSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LUCAS JUNGEMANN
PRESIDENT
20357 385TH AVE
WOLSEY SD 57384

Officer/Director/Trustee Two

DAVID JENSEN
VICE PRESIDENT
473 CEDAR ST NE
WOLSEY SD 57384

Officer/Director/Trustee Three

CRAIG HELLER
DIRECTOR
875 LOCUST AVE SE
WOLSEY SD 57384

Officer/Director/Trustee Four

JEFF LANGBEHN
DIRECTOR
20448 388TH AVE
WOLSEY SD 57384

Officer/Director/Trustee Five

MIKE MCCREADY
DIRECTOR
118 COMMERCIAL AVE NE
WOLSEY SD 57350

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/2/2015
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: Yes
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 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 DAVID JENSEN
Signature Title VICE PRESIDENT
Signature Date 5/5/2021

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