FORM 1023-EZ for KEARNEY PARK VOLUNTEER FIRE DEPARTMENT

Field Data
EIN 47-4220188
Case Number EO-2018348-000103
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KEARNEY PARK VOLUNTEER FIRE DEPARTMENT
Organization’s Mailing Address P O BOX 27
City FLORA
State MS
ZIP 39071
Accounting period End 12
Primary contact name TONIA COWAN ROSS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATINA PALMER
PRESIDENT
120A EMMIT ROAD
FLORA MS 39071

Officer/Director/Trustee Two

STEVE SESSIONS
VICE PRESIDENT
434 LIVINGSTON VERNON ROAD
FLORA MS 39071

Officer/Director/Trustee Three

TONIA COWAN ROSS
SECRETARY - TREASURER
110 MIDDLE ROAD
FLORA MS 39071

Officer/Director/Trustee Four

TIM ROGERS
BOARD MEMBER
231 MEMORIAL CIRCLE
FLORA MS 39071

Officer/Director/Trustee Five

VALERIE MCNAIR
BOARD MEMBER
105 WOODRIDGE DRIVE
FLORA MS 39071

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/29/85
Organization Incorporation State MS
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TONIA COWAN ROSS
Signature Title TREASURER
Signature Date 12/12/18

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