FORM 1023-EZ for GERALD - ROSEBUD FIREFIGHTERS ASSOCIATION

Field Data
EIN 84-3053438
Case Number EO-2019262-000003
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GERALD - ROSEBUD FIREFIGHTERS ASSOCIATION
Organization’s Mailing Address 405 W GRANDVIEW AVE
City GERALD
State MO
ZIP 63037
Accounting period End 12
Primary contact name JUSTIN HAASE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WARREN WEISS
CHIEF
3725 BLOCKS BRANCH RD
OWENSVILLE MO 65066

Officer/Director/Trustee Two

JUSTIN HAASE
DEPUTY CHIEF
513 PINE ST
ROSEBUD MO 63091

Officer/Director/Trustee Three

NICK VIA
SECRETARY
410 EAST FITZGERALD AVE
GERALD MO 63037

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/29/19
Organization Incorporation State MO
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 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 JUSTIN HAASE
Signature Title DEPUTY CHIEF
Signature Date 9/16/19

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