FORM 1023-EZ for SOUTH FORK FIRE RESCUE LADIES AUXILIARY

Field Data
EIN 83-3788667
Case Number EO-2019064-000155
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTH FORK FIRE RESCUE LADIES AUXILIARY
Organization’s Mailing Address PO BOX 579
City SOUTH FORK
State CO
ZIP 81154
Accounting period End 12
Primary contact name BRITTANY HATHORN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRITTANY HATHORN
PRESIDENT
0028 MALL STREET
SOUTH FORK CO 81154

Officer/Director/Trustee Two

TAMMY WORLE
TREASURER
0028 MALL STREET
SOUTH FORK CO 81154

Officer/Director/Trustee Three

BARRIE THOMSON
SECRETARY
0028 MALL STREET
SOUTH FORK CO 81154

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/19
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M60 - Public Safety
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 BRITTANY HATHORN
Signature Title PRESIDENT
Signature Date 3/3/19

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