FORM 1023-EZ for TRI-COUNTY FIRESAFE WORKING GROUP

Field Data
EIN 47-5387650
Case Number EO-2015302-000250
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TRI-COUNTY FIRESAFE WORKING GROUP
Organization’s Mailing Address 221 BRECKENRIDGE ST
City HELENA
State MT
ZIP 59601-4223
Accounting period End 1
Primary contact name PAUL SPENGLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PAUL SPENGLER
LEWIS CLARK COUNTY EM MGR
221 BRECKENRIDGE ST
HELENA MT 59601-4223

Officer/Director/Trustee Two

DOUG DODGE
JEFFERSON COUNTY EM MGR
225 SHADY LN
CLANCY MT 59634

Officer/Director/Trustee Three

MIKE KOEHNKE
BROADWATER COUNTY EM MGR
44 MUDDY LN
TOSTON MT 59643-9748

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2015
Organization Incorporation State MT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W20 - Government and Public Administration
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 Yes
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 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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