FORM 1023-EZ for GRASSY MOUNTAIN FIRE DISTRICT
| Field | Data |
|---|---|
| EIN | 83-1779392 |
| Case Number | EO-2018250-000360 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | GRASSY MOUNTAIN FIRE DISTRICT |
| Organization’s Mailing Address | 5 PINE HILL DRIVE |
| City | WHITE SULPHUR SPRGS |
| State | MT |
| ZIP | 59645-9515 |
| Accounting period End | 6 |
| Primary contact name | RICHARD SIEBKEN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
RICHARD SIEBKEN
CHAIRMAN
5 PINE HILL DRIVE
WHITE SULPHUR SPRGS MT 59645-9515
Officer/Director/Trustee Two
J MICHAEL LEONARD
VICE CHAIRMAN
60 SCHENDEL ROAD
WHITE SULPHUR SPRGS MT 59645
Officer/Director/Trustee Three
MICHAEL ERBEN
TRUSTEE
3 PINE HILL DRIVE
WHITE SULPHUR SPRGS MT 59645
Officer/Director/Trustee Four
TRACY VANWORMER
TRUSTEE
135 PANARAMA DRIVE
WHITE SULPHUR SPRGS MT 59656
Officer/Director/Trustee Five
VALERIE SIEBKEN
SEC /TREASURER
5 PINE HILL DRIVE
WHITE SULPHUR SPRGS MT 59645-9515
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/24/18 |
| Organization Incorporation State | MT |
| 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 | 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 | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | RICHARD SIEBKEN |
| Signature Title | CHAIRMAN |
| Signature Date | 9/5/18 |
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