FORM 1023-EZ for RICHLAND FIRE DEPARTMENT INC

Field Data
EIN 83-1029643
Case Number EO-2018299-000023
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RICHLAND FIRE DEPARTMENT INC
Organization’s Mailing Address 1074 HIGHWAY 1 AND 78
City RICHLAND
State IA
ZIP 52585
Accounting period End 12
Primary contact name DAVID J BRIGHT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRETT SLAUBAUGH
PRESIDENT
1074 HIGHWAY 1 AND 78
RICHLAND IA 52585

Officer/Director/Trustee Two

MITCH EHRENFELT
CHIEF/DIRECTOR
1074 HIGHWAY 1 AND 78
RICHLAND IA 52585

Officer/Director/Trustee Three

JIM KREIR
SECRETARY
1074 HIGHWAY 1 AND 78
RICHLAND IA 52585

Officer/Director/Trustee Four

ANDY ADAM
DIRECTOR
1074 HIGHWAY 1 AND 78
RICHLAND IA 52585

Officer/Director/Trustee Five

DALE INGERSOL
DIRECTOR
1074 HIGHWAY 1 AND 78
RICHLAND IA 52585

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/22/18
Organization Incorporation State IA
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 MITCH EHRENFELT
Signature Title CHIEF/DIRECTOR
Signature Date 10/24/18

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