FORM 1023-EZ for LIBERTY FIREFIGHTERS AUXILIARY

Field Data
EIN 34-1980052
Case Number EO-2015293-000105
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIBERTY FIREFIGHTERS AUXILIARY
Organization’s Mailing Address C/O 1427 N 1153RD LN
City QUINCY
State IL
ZIP 62305
Accounting period End 6
Primary contact name STERLING MUSHOLT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

STERLING MUSHOLT
PRESIDENT
1427 N 1153RD LN
QUINCY IL 62305

Officer/Director/Trustee Two

SCHANAN KIVETT
TREASURER
P O BOX 204
LIBERTY IL 62347

Officer/Director/Trustee Three

LYNN SCOTT
SECRETARY
405 W STATE
LIBERTY IL 62347

Officer/Director/Trustee Four

DON LOOS
TRUSTEE
231 E 2900TH ST
BAYLIS IL 62314

Officer/Director/Trustee Five

BILL LANTZ
TRUSTEE
2173 N 400TH AVE
LIBERTY IL 62347

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/20/2004
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W11 - Single Organization Support
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 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
Signature Title
Signature Date

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