FORM 1023-EZ for KINGSBURY VOLUNTEER FIRE DEPARTMENTAUXILIARY

Field Data
EIN 83-0934958
Case Number EO-2018192-000110
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KINGSBURY VOLUNTEER FIRE DEPARTMENTAUXILIARY
Organization’s Mailing Address 1060 FM 1104
City KINGSBURY
State TX
ZIP 78638
Accounting period End 12
Primary contact name CATHY MEDLIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CATHY MEDLIN
PRESIDENT
610 GUADALUPE STREET
KINGSBURY TX 78638

Officer/Director/Trustee Two

DEBRA HEINSOHN
VICE PRESIDENT
285 HEAVENLY LANE
KINGSBURY TX 78638

Officer/Director/Trustee Three

CHELSEA VADEN
SECRETARY
385 PANKAU ROAD
SEGUIN TX 78155

Officer/Director/Trustee Four

BETH PIRTLE
TREASURER
2775 GANDER SLOUGH ROAD
KINGSBURY TX 78638

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/19/70
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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 CATHY MEDLIN
Signature Title PRESIDENT
Signature Date 7/9/18

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