| Field | Data |
|---|---|
| EIN | 81-3447697 |
| Case Number | EO-2021176-000208 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CARBON COUNTY FIRE DEPARTMENT-HANNADIVISION |
| Organization’s Mailing Address | PO BOX 784 111 2ND ST |
| City | HANNA |
| State | WY |
| ZIP | 82327 |
| Accounting period End | 12 |
| Primary contact name | MARK KOSTOVNY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
DONNA PIPHER
TREASURER
POBOX 121
HANNA WY 82327
MELISA SIKES
SECRETARY
PO BOX 86
HANNA WY 82327
BASIL PHILLIPS
MEMBER AT LARGE
PO BOX 392
HANNA WY 82327
| Organization’s website | NA |
|---|---|
| Organization’s email | CCFDHD16@HOTMAIL.COM |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/23/2021 |
| Organization Incorporation State | WY |
| 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: No 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 | 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 | DONNA PIPHER |
| Signature Title | TREASURER |
| Signature Date | 6/23/2021 |
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