FORM 1023-EZ for SULLIVAN FIRE AND RESCUE ASSOCIATION COMPANY

Field Data
EIN 27-1896838
Case Number EO-2018115-000203
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SULLIVAN FIRE AND RESCUE ASSOCIATION COMPANY
Organization’s Mailing Address 500 US HWY 224
City SULLIVAN
State OH
ZIP 44880
Accounting period End 12
Primary contact name DENISE HERTE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JONAS MILLER
PRESIDENT
500 US HWY 224
SULLIVAN OH 44880

Officer/Director/Trustee Two

SAMUEL MILLER
VICE PRESIDENT
500 US HWY 224
SULLIVAN OH 44880

Officer/Director/Trustee Three

ERICA BLOOM
SECRETARY
500 US HWY 224
SULLIVAN OH 44880

Officer/Director/Trustee Four

DENISE HERTE
TREASURER
500 US HWY 224
SULLIVAN OH 44880

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/16/09
Organization Incorporation State OH
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: 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 Yes
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 Yes
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DENISE HERTE
Signature Title TREASURER
Signature Date 4/23/18

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