FORM 1023-EZ for WESTPHALIA VOLUNTEER FIRE DEPARTMENT

Field Data
EIN 27-0129873
Case Number EO-2016025-000154
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WESTPHALIA VOLUNTEER FIRE DEPARTMENT
Organization’s Mailing Address 729 STATE HWY 320
City LOTT
State TX
ZIP 76656-3542
Accounting period End 12
Primary contact name JERRY LODEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JERRY LODEN
PRESIDENT, DIRECTOR
729 STATE HWY 320
LOTT TX 76656-3542

Officer/Director/Trustee Two

PAT RABROKER
DIRECTOR, CHIEF
734 STATE HWY 320
LOTT TX 76656-3542

Officer/Director/Trustee Three

JAY WIMBERLEY
DIRECTOR
132 FM 431
LOTT TX 76656-3542

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/1950
Organization Incorporation State TX
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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