FORM 1023-EZ for JEWELL RIDGE VOLUNTEER FIRE DEPARTMENT INC

Field Data
EIN 47-3021484
Case Number EO-2015089-000196
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JEWELL RIDGE VOLUNTEER FIRE DEPARTMENT INC
Organization’s Mailing Address 805 JEWELL MAIN ROAD PO BOX 197
City JEWELL RIDGE
State VA
ZIP 24622
Accounting period End 12
Primary contact name BRIAN LOWE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRIAN LOWE
CHIEF
708 JEWELL MAIN ROAD
JEWELL RIDGE VA 24622

Officer/Director/Trustee Two

JASON LOWE
ASSISTANT CHIEF
6411 STINSON RIDGE ROAD
JEWELL RIDGE VA 24622

Officer/Director/Trustee Three

HENCE LESTER
CAPTAIN
197 FOREST ROAD
JEWELL RIDGE VA 24622

Officer/Director/Trustee Four

GARLAND JOYCE
SECRETARY/TREASURER
5770 STINSON RIDGE ROAD
JEWELL RIDGE VA 24622

Officer/Director/Trustee Five

RICHARD ROBERTS
TRAINING OFFICER
700 SMITH RIDGE ROAD
JEWELL RIDGE VA 24622

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/5/1974
Organization Incorporation State VA
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 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
Signature Title
Signature Date

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