FORM 1023-EZ for WELLSBURG FIRE AND RESCUE FOUNDATION INCORPORATED

Field Data
EIN 47-4373657
Case Number EO-2016195-000342
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WELLSBURG FIRE AND RESCUE FOUNDATION INCORPORATED
Organization’s Mailing Address PO BOX 44
City WELLSBURG
State IA
ZIP 50680-0044
Accounting period End 6
Primary contact name WHITNEY J HEINRICH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK WILTFANG
DIRECTOR
PO BOX 15
WELLSBURG IA 50680-0015

Officer/Director/Trustee Two

BRENT SCHIPPER
DIRECTOR
PO BOX 181
WELLSBURG IA 50680-0181

Officer/Director/Trustee Three

LEON ABELS
DIRECTOR
808 E 4TH ST
WELLSBURG IA 50680-7730

Officer/Director/Trustee Four

APRIL HAUPT
DIRECTOR
607 W JACKSON
WELLSBURG IA 50680-7764

Officer/Director/Trustee Five

CHASE BABCOCK
DIRECTOR
PO BOX 14
WELLSBURG IA 50680-0014

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2015
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: 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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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