FORM 1023-EZ for CITY OF BURLINGTON VOLUNTEER FIREFIGHTERS ASSOCIATION INC

Field Data
EIN 47-5047341
Case Number EO-2016167-000148
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CITY OF BURLINGTON VOLUNTEER FIREFIGHTERS ASSOCIATION INC
Organization’s Mailing Address 165 W WASHINGTON ST
City BURLINGTON
State WI
ZIP 53105
Accounting period End 12
Primary contact name MICHAEL BAUMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JARED OWEN
PRESIDENT
165 W WASHINGTON ST
BURLINGTON WI 53105

Officer/Director/Trustee Two

JOSEPH SCHENCK
VICE PRESIDENT
165 W WASHINGTON ST
BURLINGTON WI 53105

Officer/Director/Trustee Three

JEREMY LAZENBY
BOARD OF DIRECTOR
165 W WASHINGTON ST
BURLINGTON WI 53105

Officer/Director/Trustee Four

BRAD ECKOLA
BOARD OF DIRECTOR
165 W WASHINGTON ST
BURLINGTON WI 53105

Officer/Director/Trustee Five

RYAN CALKINS
BOARD OF DIRECTOR
165 W WASHINGTON ST
BURLINGTON WI 53105

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/11/2015
Organization Incorporation State WI
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 Yes
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 Yes
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
Signature Title
Signature Date

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