FORM 1023-EZ for FORTY FORT VOLUNTEER FIRE COMPANY

Field Data
EIN 23-2827050
Case Number EO-2020230-000246
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FORTY FORT VOLUNTEER FIRE COMPANY
Organization’s Mailing Address 1271 WYOMING AVENUE
City FORTY FORT
State PA
ZIP 18704-4101
Accounting period End 12
Primary contact name WILLIAM BOOKWALTER - TREASURER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSEPH KOZICH
PRESIDENT
20 ORCHARD STREET
FORTY FORT PA 18704-5031

Officer/Director/Trustee Two

WILLIAM BOOKWALTER
TREASURER
81 WELLES STREET
FORTY FORT PA 18704-4950

Officer/Director/Trustee Three

NANCY KOZICH
SECRETARY
20 ORCHARD STREET
FORTY FORT PA 18704-5031

Officer/Director/Trustee Four

ROBERT SMITH
VICE PRESIDENT
1/2 PULASKI STREET
KINGSTON PA 18704

Officer/Director/Trustee Five

FRED BLAUM
TRUSTEE
30 COOPER STREET
PRINGLE PA 18704

Organization’s website N/A
Organization’s email WILLIAMBOOKWALTER@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/4/1905
Organization Incorporation State PA
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 Yes
Correctness Declaration Yes
Signature Name WILLIAM BOOKWALTER
Signature Title TREASURER
Signature Date 8/13/2020

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