FORM 1023-EZ for BLACK BUTTE FIRE VOLUNTEER ASSOCIATION

Field Data
EIN 72-1528114
Case Number EO-2017142-000474
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLACK BUTTE FIRE VOLUNTEER ASSOCIATION
Organization’s Mailing Address PO BOX 8000 PMB 8190
City SISTERS
State OR
ZIP 97759
Accounting period End 12
Primary contact name RYAN THOMAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSEPH HESTER
PRESIDENT
PO BOX 8000 PMB 8173
SISTERS OR 97759

Officer/Director/Trustee Two

ALEXANDER WALES
VICE-PRESIDENT
PO BOX 8000 PMB 8173
SISTERS OR 97759

Officer/Director/Trustee Three

RYAN THOMAS
SECRETARY/TREASURER
PO BOX 8000 PMB 8190
SISTERS OR 97759

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/18/2011
Organization Incorporation State OR
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 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
Signature Title
Signature Date

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