FORM 1023-EZ for FRIENDS OF GRAND RAPIDS FIRE DEPARTMENT - CORPORATION

Field Data
EIN 87-2586026
Case Number EO-2021272-000164
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FRIENDS OF GRAND RAPIDS FIRE DEPARTMENT - CORPORATION
Organization’s Mailing Address 3420 37TH STREET SOUTH
City WISCONSIN RAPIDS
State WI
ZIP 54494
Accounting period End 12
Primary contact name NICHOLAS FLANAGAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT PIATT
INITIAL DIRECTOR
3420 37TH STREET SOUTH
WISCONSIN RAPIDS WI 54494

Officer/Director/Trustee Two

KEVIN GROSSKREUTZ
INITIAL DIRECTOR
5011 PRAIRIE RIDGE DRIVE
WISCONSIN RAPIDS WI 54494

Officer/Director/Trustee Three

BEN HOLBERG
INITIAL DIRECTOR
706 BLODGETT STREET
MARSHFIELD WI 54449

Officer/Director/Trustee Four

MATT COLE
INITIAL DIRECTOR
441 18TH STREET NORTH
WISCONSIN RAPIDS WI 54494

Officer/Director/Trustee Five

RICK AUSTIN
INITIAL DIRECTOR
6310 64TH STREET SOUTH
WISCONSIN RAPIDS WI 54494

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/10/2021
Organization Incorporation State WI
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 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 ROBERT PIATT
Signature Title INITIAL DIRECTOR
Signature Date 9/28/2021

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