FORM 1023-EZ for OGLALA LAKOTA STRUCTURAL FIRE DEPARTMENT

Field Data
EIN 85-1371009
Case Number EO-2021085-000172
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OGLALA LAKOTA STRUCTURAL FIRE DEPARTMENT
Organization’s Mailing Address 17687 US HIGHWAY 18 PO BOX 1868
City PINE RIDGE
State SD
ZIP 57770
Accounting period End 12
Primary contact name WESLEY BIG CROW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMIE BIG CROW
PRESIDENT
PO BOX 1
PORCUPINE SD 57772

Officer/Director/Trustee Two

SCOTT WESTON
VICE PRESIDENT
PO BOX 98
PORCUPINE SD 57772

Officer/Director/Trustee Three

EDWARD STARR
TREASURE
PO BOX 231
OGLALA SD 57164

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/12/2019
Organization Incorporation State SD
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: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JAMIE BIG CROW
Signature Title PRESIDENT
Signature Date 2/2/2021

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