FORM 1023-EZ for JORDAN VALLEY RANGELAND FIRE ASSOCIATION

Field Data
EIN 26-0244298
Case Number EO-2020083-000339
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JORDAN VALLEY RANGELAND FIRE ASSOCIATION
Organization’s Mailing Address 2625 LOWER COW LAKES ROAD BOX 381
City JORDAN VALLEY
State OR
ZIP 97910
Accounting period End 12
Primary contact name CLINT FILLMORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLINTON FILLMORE
SECRETARY/TREASURE/OFFICER
2625 LOWER COW LAKES ROAD
JORDAN VALLEY OR 97910

Officer/Director/Trustee Two

SILAS SKINNER
PRESIDENT
3267 SKINNER ROAD
JORDAN VALLEY OR 97910

Officer/Director/Trustee Three

MARK FILLMORE
OFFICER
3095 HWY 95 W
JORDAN VALLEY OR 97910

Officer/Director/Trustee Four

JOSH MACKENZIE
OFFICER
855 ROCK CREEK ROAD
JORDAN VALLEY OR 97910

Officer/Director/Trustee Five

RICHARD EIGUREN
OFFICER
PO BOX 223
AROCK OR 97902

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/18/2007
Organization Incorporation State OR
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 No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CLINTON FILLMORE
Signature Title SECRETARY/TREASURE/OFFICER
Signature Date 3/20/2020

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