FORM 1023-EZ for GORIN DISTRICT VOLUNTEER FIRE DEPARTMENT INC

Field Data
EIN 43-2046606
Case Number EO-2015183-000148
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GORIN DISTRICT VOLUNTEER FIRE DEPARTMENT INC
Organization’s Mailing Address PO BOX 144
City GORIN
State MO
ZIP 63543
Accounting period End 12
Primary contact name MOOREEN HOLTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JASON HOOVER
PRESIDENT
RT 1 BOX 92
GORIN MO 63543

Officer/Director/Trustee Two

LEALLEN RAMER
VICE PRESIDENT
RT 1 BOX 43
GORIN MO 63543

Officer/Director/Trustee Three

MOOREEN HOLTON
SECRETARY/TREASURER
RT 1 BOX 114A
GORIN MO 63543

Officer/Director/Trustee Four

DANIEL HOOVER
MEMBER
RT 1 BOX 47B
GORIN MO 63543

Officer/Director/Trustee Five

JONATHAN MARTIN
MEMBER
RT 1 BOX 735
WYACONDA MO 63474

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/10/1982
Organization Incorporation State MO
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 Yes
One Third Support Gifts No
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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