FORM 1023-EZ for INDIAN LAKE VOLUNTEER FIRE DEPARTMENT WOMENS AUXILIARY

Field Data
EIN 22-3827081
Case Number EO-2016299-000124
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name INDIAN LAKE VOLUNTEER FIRE DEPARTMENT WOMENS AUXILIARY
Organization’s Mailing Address 6128 ROUTE 28 PO BOX 70
City INDIAN LAKE
State NY
ZIP 12842-0070
Accounting period End 12
Primary contact name REBECCA HALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VIRGINIA CLAWSON
PRESIDENT
123 SAWMILL ROAD PO BOX 6
INDIAN LAKE NY 12842-0006

Officer/Director/Trustee Two

JOAN HUTCHINS
VICE PRESIDENT
6171 NYS ROUTE 28 PO BOX 518
INDIAN LAKE NY 12842

Officer/Director/Trustee Three

REBECCA HALL
TREASURER
191 CROW HILL ROAD PO BOX 165
INDIAN LAKE NY 12842-0191

Officer/Director/Trustee Four

CYNTHIA BURGESS
CO-TREASURER
6474 NYS ROUTE 30
INDIAN LAKE NY 12842

Officer/Director/Trustee Five

NAOMI SEERY
SECRETARY
GUNDEL COURT
INDIAN LAKE NY 12842

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/1971
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M11 - 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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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