FORM 1023-EZ for ANITA VOLUNTEER FIRE ASSOCIATION

Field Data
EIN 83-3321140
Case Number EO-2019037-000804
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ANITA VOLUNTEER FIRE ASSOCIATION
Organization’s Mailing Address 208 WALNUT ST PO BOX 104
City ANITA
State IA
ZIP 50020
Accounting period End 12
Primary contact name TIM RONFELDT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIM RONFELDT
DIRECTOR
608 WALNUT ST
ANITA IA 50020

Officer/Director/Trustee Two

DELMAR KOPP
DIRECTOR
610 MICHIGAN
ANITA IA 50020

Officer/Director/Trustee Three

DAVID CHRISTENSEN
DIRECTOR
505 WALNUT STREET
ANITA IA 50020

Officer/Director/Trustee Four

COUTON HONECK
DIRECTOR
412 MAIN ST
ANITA IA 50020

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/17/18
Organization Incorporation State IA
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 TIM RONFELDT
Signature Title DIRECTOR
Signature Date 1/28/19

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