FORM 1023-EZ for LANDS END FIRE PROTECTION AUXILIARY

Field Data
EIN 43-2065252
Case Number EO-2015138-000072
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LANDS END FIRE PROTECTION AUXILIARY
Organization’s Mailing Address PO BOX 250
City WHITEWATER
State CO
ZIP 81527
Accounting period End 12
Primary contact name BRIAN LURVEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRIAN LURVEY
PRESIDENT
31951 STONE TREE LANE
WHITEWATER CO 81527

Officer/Director/Trustee Two

JAMES WOOD
MEMBER
8097 BEAN RANCH RD
WHITEWATER CO 81527

Officer/Director/Trustee Three

STACI MIDGLEY
MEMBER
2039 SHILOH COURT
WHITEWATER CO 81527

Officer/Director/Trustee Four

JAVIER PADILLA
MEMBER
1950
GRAND JUNCTION CO 81504

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/17/2006
Organization Incorporation State CO
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 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
Signature Title
Signature Date

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