FORM 1023-EZ for FRIENDS OF FAIRLAND INC

Field Data
EIN 45-4132238
Case Number EO-2015321-000068
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS OF FAIRLAND INC
Organization’s Mailing Address 58 TOWNSHIP ROAD 1575
City PROCTORVILLE
State OH
ZIP 45669
Accounting period End 12
Primary contact name XAVIER STAGGS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEREK CLARK
DIRECTOR AND PRESIDENT
58 TOWNSHIP ROAD 1575
PROCTORVILLE OH 45669

Officer/Director/Trustee Two

PAUL DILLON
DIRECTOR AND VICE PRESIDENT
119 TOWNSHIP ROAD 1534
PROCTORVILLE OH 45669

Officer/Director/Trustee Three

KEVIN BROWN
DIRECTOR AND SECRETARY/TREASURER
122 TOWNSHIP ROAD 1534
PROCTORVILLE OH 45669

Officer/Director/Trustee Four

XAVIER STAGGS
DIRECTOR
153 PRIVATE DRIVE 10786
PROCTORVILLE OH 45669

Organization’s website WWW.FRIENDSOFFAIRLAND.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/10/2012
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 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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