FORM 1023-EZ for YARNELL FIRE AUXILIARY

Field Data
EIN 46-2345638
Case Number EO-2016246-000213
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name YARNELL FIRE AUXILIARY
Organization’s Mailing Address PO BOX 541
City YARNELL
State AZ
ZIP 85362-0541
Accounting period End 12
Primary contact name KURT FLORMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KURT FLORMAN
TREASURER
16834 W CORBIN DR
YARNELL AZ 85362-0682

Officer/Director/Trustee Two

LINDA MA
CHAIR
23085 LAKEWOOD DR
YARNELL AZ 85362-1236

Officer/Director/Trustee Three

TRISH EDWARDS
VICE CHAIR
17422 FOOTHILLS RD
YARNELL AZ 85362-0235

Officer/Director/Trustee Four

LEAH TIDEY
SECRETARY
16695 CROSSWAY
YARNELL AZ 85362-1081

Officer/Director/Trustee Five

PEGGY LOOPER
PUBLIC RELATIONS
16154 ALLEN WAY
YARNELL AZ 85362-1062

Organization’s website YARNELLFIREAUX.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/5/2013
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M11 - Single Organization Support
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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