FORM 1023-EZ for ALLENSVILLE VOLUNTEER FIRE DEPARTMENT

Field Data
EIN 61-1133156
Case Number EO-2015343-000383
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ALLENSVILLE VOLUNTEER FIRE DEPARTMENT
Organization’s Mailing Address PO BOX 131
City ALLENSVILLE
State KY
ZIP 42204
Accounting period End 12
Primary contact name JOHN WALTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHN CAMPBELL
CHIEF
1283 JOE GILL RD
ALLENSVILLE KY 42204

Officer/Director/Trustee Two

RICE GILL
ASSISTANT-CHIEF
8216 ALLENSVILLE RD
ALLENSVILLE KY 42204

Officer/Director/Trustee Three

JOHN WALTON
SECRETARY-TREASURER
3559 RUSSELLVILLE RD
ALLENSVILLE KY 42204

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/15/1988
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 Yes
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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