FORM 1023-EZ for PIERCE FIREFIGHTER CHARITY FUND

Field Data
EIN 83-4698659
Case Number EO-2019133-000359
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PIERCE FIREFIGHTER CHARITY FUND
Organization’s Mailing Address 1261 ELMRIDGE DR
City AMELIA
State OH
ZIP 45102
Accounting period End 5
Primary contact name NICHOLAS HULTZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NIC HULTZ
TRUSTEE
1261 ELMRIDGE DR
AMELIA OH 45102

Officer/Director/Trustee Two

JOSH WATREN
PRESIDENT
1261 ELMRIDGE DR
AMELIA OH 45102

Officer/Director/Trustee Three

TOM SCHENZ
VICE PRESIDENT
1261 ELMRIDGE DR
AMELIA OH 45102

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/8/19
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E50 - Rehabilitative Medical Services
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 NIC HULTZ
Signature Title TRUSTEE
Signature Date 5/9/19

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