FORM 1023-EZ for JEROMESVILLE VOLUNTEER FIRE DEPARTMENT

Field Data
EIN 82-4516584
Case Number EO-2018057-000293
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JEROMESVILLE VOLUNTEER FIRE DEPARTMENT
Organization’s Mailing Address PO BOX 102
City JEROMESVILLE
State OH
ZIP 44840
Accounting period End 12
Primary contact name THOMAS R GILMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRANDON GLASS
PRESIDENT
PO BOX 102
JEROMESVILLE OH 44840

Officer/Director/Trustee Two

RANDY HAZLETT
VICE PRESIDENT
PO BOX 102
JEROMESVILLE OH 44840

Officer/Director/Trustee Three

AMANDA JOLIFF
SECRETARY TREASURER
PO BOX 102
JEROMESVILLE OH 44840

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/5/16
Organization Incorporation State OH
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: Yes
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 Yes
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 AMANDA JOLIFF
Signature Title SECRETARY TREASURER
Signature Date 2/22/18

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