FORM 1023-EZ for TOWN OF FOND DU LAC VOLUNTEER FIREFIGHTERS ASSOCIATION

Field Data
EIN 84-4598891
Case Number EO-2020041-000362
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TOWN OF FOND DU LAC VOLUNTEER FIREFIGHTERS ASSOCIATION
Organization’s Mailing Address W5990 W PIONEER RD
City FOND DU LAC
State WI
ZIP 54935-5603
Accounting period End 12
Primary contact name DEAN BIRSCHBACH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEAN BIRSCHBACH
FIRE CHIEF
N6309 TOWN LINE RD
FOND DU LAC WI 54937-9443

Officer/Director/Trustee Two

BILL TOLLEFSON
PRESIDENT
445 W SCOTT ST
FOND DULAC WI 54935

Officer/Director/Trustee Three

JIM HALTAUFDERHYDE
VICE PRESIDENT
642 S MARR ST
FOND DU LAC WI 54935

Officer/Director/Trustee Four

KAREN KAUFMAN
SECRETARY
W6727 BROWN RD
FOND DU LAC WI 54937

Officer/Director/Trustee Five

BRENDA POST
TREASURE
N6297 TOWNLINE RD
FOND DU LAC WI 54937

Organization’s website
Organization’s email TFDLFIREDEPT@CHARTER.NET
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/1995
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T31 - Community Foundations
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 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 DEAN BIRSCHBACH
Signature Title FIRE CHIEF
Signature Date 2/6/2020

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