FORM 1023-EZ for LAKESIDE FIRE DEPARTMENT ASSOCIATION
| Field | Data |
|---|---|
| EIN | 30-0983585 |
| Case Number | EO-2020273-000623 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | LAKESIDE FIRE DEPARTMENT ASSOCIATION |
| Organization’s Mailing Address | PO BOX 494 |
| City | LAKESIDE |
| State | OR |
| ZIP | 97449 |
| Accounting period End | 7 |
| Primary contact name | TISHIEA JOHNSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
TISHIEA JOHNSON
TREASURE
PO BOX 24
LAKESDIE OR 97449
Officer/Director/Trustee Two
ANDREW PICKETT
PRESIDENT
1700 KRISTI LOOP
LAKESIDE OR 97449
Officer/Director/Trustee Three
RALPH DOTSON
SECRECTARY
PO BOX 494
LAKESIDE OR 97449
Officer/Director/Trustee Four
BOD GARMON
VICE PRESIDENT
PO BOX 494
LAKESIDE OR 97449
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/19/2017 |
| Organization Incorporation State | OR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | N12 - Fund Raising and/or Fund Distribution |
| 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 | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | TISHIEA JOHNSON |
| Signature Title | TREASURE |
| Signature Date | 9/24/2020 |
| EIN | 30-0983585 |
| Case Number | EO-2017131-000290 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | LAKESIDE VOLUNTEER FIREFIGHTER ASSOCIATION |
| Organization’s Mailing Address | PO BOX 494 |
| City | LAKESIDE |
| State | OR |
| ZIP | 97449 |
| Accounting period End | 7 |
| Primary contact name | TISHIEA JOHNSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
DEWAYNE FORREST
PRESIDENT
PO BOX 494
LAKESIDE OR 97449
Officer/Director/Trustee Two
DON NUSS
TREASURE
PO BOX 494
LAKESIDE OR 97449
Officer/Director/Trustee Three
TISHIEA JOHNSON
SECRETARY
PO BOX 494
LAKESIDE OR 97449
Officer/Director/Trustee Four
KYLE HARMON
VICE PRESIDENT
PO BOX 494
LAKESIDE OR 97449
Officer/Director/Trustee Five
LEVI SAPPINGTON
SERGANT OF ARMS
PO BOX 494
LAKESIDE OR 97449
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/13/2016 |
| Organization Incorporation State | OR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F11 - Single Organization Support |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: No Literary: No Public Safety: Yes 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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