FORM 1023-EZ for VIOLA - NORTH GRAVES VOLUNTEER FIREDEPARTMENT

Field Data
EIN 87-1449039
Case Number EO-2021183-000589
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VIOLA - NORTH GRAVES VOLUNTEER FIREDEPARTMENT
Organization’s Mailing Address PO BOX 56
City HICKORY
State KY
ZIP 42051
Accounting period End 12
Primary contact name ANGELA LOZOYA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD WILSON
CHAIRPERSON
1516 STATE ROUTE 849 W
HICKORY KY 42051

Officer/Director/Trustee Two

DOUG GARNETT
CO CHAIRPERSON
5070 STATE ROUTE 1241
HICKORY KY 42051

Officer/Director/Trustee Three

CHRIS RODGERS
BOARD
142 ETHEL ROAD
HICKORY KY 42066

Officer/Director/Trustee Four

TIM THURSTON
BOARD
10072 HOPEWELL ROAD
BOAZ KY 42027

Officer/Director/Trustee Five

ANGELA LOZOYA
TREASURER
2916 SPENCE CHAPEL ROAD
MAYFIELD KY 42066

Organization’s website NA
Organization’s email VIOLAFD85@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/28/2021
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M24 - Fire Prevention, Protection, Control
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 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 ANGELA LOZOYA
Signature Title TREASURER
Signature Date 6/30/2021

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