FORM 1023-EZ for TWAIN HARTE VOLUNTEER FIRE DEPARTMENT

Field Data
EIN 90-0714152
Case Number EO-2017304-000096
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TWAIN HARTE VOLUNTEER FIRE DEPARTMENT
Organization’s Mailing Address 18781 CEDAR DR
City TWAIN HARTE
State CA
ZIP 95383
Accounting period End 12
Primary contact name TERON TIDABACK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICK KERRIGAN
PRESIDENT
16365 CORTE DEL CIELO CT
SONORA CA 95370-8406

Officer/Director/Trustee Two

NIEL GAMEZ
VICE PRESIDENT
14520 STONE LANE
SONORA CA 95370-9276

Officer/Director/Trustee Three

TERON TIDABACK
TREASURER
19888 CHRISTIE MAY LN
SONORA CA 95370-9222

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/24/1949
Organization Incorporation State CA
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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