FORM 1023-EZ for CLAY SPRINGS PINEDALE FIREFIGHTERSAUXILLIARY

Field Data
EIN 20-5153810
Case Number EO-2014311-000373
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CLAY SPRINGS PINEDALE FIREFIGHTERSAUXILLIARY
Organization’s Mailing Address PO BOX 2500
City SHOW LOW
State AZ
ZIP 85902
Accounting period End 12
Primary contact name ROB JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DICK HILEMAN
PRESIDENT/DIRECTOR
PO BOX 1188
PINEDALE AZ 85934

Officer/Director/Trustee Two

KEN DAVIS
DIRECTOR
PO BOX 422
CLAY SPRINGS AZ 85923

Officer/Director/Trustee Three

ROB JONES
TREASURER/DIRECTOR
PO BOX 2008
SHOW LOW AZ 85902

Organization’s website
Organization’s email
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 8/15/2006
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M20 - Disaster Preparedness and Relief Services
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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