FORM 1023-EZ for KOONTZ LAKE-OREGON TOWNSHIP VOLUNTEER FIRE DEPT

Field Data
EIN 86-1649544
Case Number EO-2021085-000390
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KOONTZ LAKE-OREGON TOWNSHIP VOLUNTEER FIRE DEPT
Organization’s Mailing Address 7784 N SR23
City WALKERTON
State IN
ZIP 46574-9314
Accounting period End 11
Primary contact name CRAIG MCINTOSH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CRAIG MCINTOSH
PRESIDENT
8680 E 750 N
WALKERTON IN 46574

Officer/Director/Trustee Two

ANDY LAWRENCE
CHIEF
7839 N MEADOW LANE
WALKERTON IN 46574

Officer/Director/Trustee Three

KYLE HINDS
ASSISTANT CHIEF
7600 N 1000 E
WALKERTON IN 46574

Officer/Director/Trustee Four

TONY LAWRENCE
CAPTAIN
7797 N SR 23
WALKERTON IN 46574

Officer/Director/Trustee Five

JEFF EDWARDS
TREASURER
8635 E 750 N
WALKERTON IN 46574

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/11/1961
Organization Incorporation State IN
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 Yes
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 CRAIG MCINTOSH
Signature Title PRESIDENT
Signature Date 2/3/2021

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