FORM 1023-EZ for THE HALLOCK FIREMANS RELIEF ASSOCIATION

Field Data
EIN 30-0914335
Case Number EO-2017258-000021
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE HALLOCK FIREMANS RELIEF ASSOCIATION
Organization’s Mailing Address 163 S 3RD ST/PO BOX 336
City HALLOCK
State MN
ZIP 56728
Accounting period End 12
Primary contact name RYAN EVENSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

COREY YOUNGGREN
PRESIDENT
PO BOX 336
HALLOCK MN 56728

Officer/Director/Trustee Two

RYAN ANDERSON
TREASURER
PO BOX 336
HALLOCK MN 56728

Officer/Director/Trustee Three

JUSTIN TERWEE
SECRETARY
PO BOX 336
HALLOCK MN 56728

Officer/Director/Trustee Four

RYAN EVENSON
MEMBER
PO BOX 713
HALLOCK MN 56728

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/21/1971
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M12 - Fund Raising and/or Fund Distribution
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 Yes
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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