FORM 1023-EZ for THE CAMDEN TOWNSHIP VOLUNTEER FIREDEPARTMENT

Field Data
EIN 27-2586537
Case Number EO-2019151-000177
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE CAMDEN TOWNSHIP VOLUNTEER FIREDEPARTMENT
Organization’s Mailing Address PO BOX 124
City KIPTON
State OH
ZIP 44049
Accounting period End 12
Primary contact name ADAM WOODRUM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ZACH JACKSON
PRESIDENT
18105 ST RT 511
WELLINGTON OH 44090

Officer/Director/Trustee Two

LUKE FANNIN
VICE PRESIDENT
51359 ST RT 303
OBERLIN OH 44074

Officer/Director/Trustee Three

RAY BREMKE
SECRETARY
18637 ST RT 511
WELLINGTON OH 44090

Officer/Director/Trustee Four

BARRETT FRENCH
TREASURER
6484 ST RT 303
WAKEMAN OH 44889

Organization’s website
Organization’s email CAMDENFIRE343@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/2/50
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M11 - Single Organization Support
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 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 ZACH JACKSON
Signature Title PRESIDENT
Signature Date 5/29/19
EIN 27-2586537
Case Number EO-2019151-000177
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE CAMDEN TOWNSHIP VOLUNTEER FIRE DEPARTMENT
Organization’s Mailing Address PO BOX 124
City KIPTON
State OH
ZIP 44049
Accounting period End 12
Primary contact name ADAM WOODRUM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ZACH JACKSON
PRESIDENT
18105 ST RT 511
WELLINGTON OH 44090

Officer/Director/Trustee Two

LUKE FANNIN
VICE PRESIDENT
51359 ST RT 303
OBERLIN OH 44074

Officer/Director/Trustee Three

RAY BREMKE
SECRETARY
18637 ST RT 511
WELLINGTON OH 44090

Officer/Director/Trustee Four

BARRETT FRENCH
TREASURER
6484 ST RT 303
WAKEMAN OH 44889

Organization’s website
Organization’s email CAMDENFIRE343@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/2/50
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M11 - Single Organization Support
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 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 ZACH JACKSON
Signature Title PRESIDENT
Signature Date 5/29/19

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