FORM 1023-EZ for VAN METER FIREFIGHTERS ASSOCIATION

Field Data
EIN 31-1500891
Case Number EO-2015076-000197
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name VAN METER FIREFIGHTERS ASSOCIATION
Organization’s Mailing Address 505 GRANT STREET
City VAN METER
State IA
ZIP 50261
Accounting period End 12
Primary contact name CHAD EICHORN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BOB CARR
PRESIDENT/DIRECTOR
32458
ADEL IA 50003

Officer/Director/Trustee Two

SCOTT DOUTLAS
TREASURER/DIRECTOR
602 ELM STREET
VAN METER IA 50261

Officer/Director/Trustee Three

SCOTT PELZ
SECRETARY/DIRECTOR
112 MAIN ST
VAN METER IA 50261

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/22/2014
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y43 - Voluntary Employees Beneficiary Associations (Non-Government)
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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