FORM 1023-EZ for HIDDEN VALLEY FIRE AND RESCUE

Field Data
EIN 41-2003904
Case Number EO-2020073-000380
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HIDDEN VALLEY FIRE AND RESCUE
Organization’s Mailing Address 23 HIDDEN VALLEY
City MINNESOTA CITY
State MN
ZIP 55959
Accounting period End 12
Primary contact name JERRY FOSTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JERRY FOSTER
TREASURER
23 HIDDEN VALLEY
MINNESOTA CITY MN 55959

Officer/Director/Trustee Two

BARBARA MORGAN
ASST. EMR COORDINATOR
840 54TH AVENUE APT 201
WINONA MN 55987

Officer/Director/Trustee Three

DONNA WIECZOREK
EMR COORDINATOR
24 HIDDEN VALLEY
MINNESOTA CITY MN 55959

Officer/Director/Trustee Four

DAVID WIECZOREK
FIRE CHIEF
24 HIDDEN VALLEY
MINNESOTA CITY MN 55959

Officer/Director/Trustee Five

DAVID NOWLAN
ASST. FIRE CHIED
279 HIDDEN VALLEY
MINNESOTA CITY MN 55959

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/19/1979
Organization Incorporation State MN
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 Yes
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 JERRY FOSTER
Signature Title TREASURER
Signature Date 3/11/2020

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