FORM 1023-EZ for FLORAHOME - GRANDIN VOLUNTEER FIREDEPARTMENT INC

Field Data
EIN 59-1797080
Case Number EO-2019036-000596
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FLORAHOME - GRANDIN VOLUNTEER FIREDEPARTMENT INC
Organization’s Mailing Address 201 W OHIO ST
City FLORAHOME
State FL
ZIP 32140
Accounting period End 12
Primary contact name DANIEL WEAVER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LOWERY JOHNSON
PRESIDENT
201 W OHIO ST
FLORAHOME FL 32140

Officer/Director/Trustee Two

JAMES UNDERWOOD
VICE PRESIDENT
201 W OHIO ST
FLORAHOME FL 32140

Officer/Director/Trustee Three

STACIE ROSS
TREASURER/SECRETARY
201 W OHIO ST
FLORAHOME FL 32140

Officer/Director/Trustee Four

JAMES PRESLEY
DIRECTOR 1
201 W OHIO ST
FLORAHOME FL 32140

Officer/Director/Trustee Five

GARY UPTAIN
DIRECTOR 2
201 W OHIO ST
FLORAHOME FL 32140

Organization’s website
Organization’s email FLORAHOMEVFD@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/1/66
Organization Incorporation State FL
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 Yes
Correctness Declaration Yes
Signature Name LOWERY JOHNSON
Signature Title PRESIDENT
Signature Date 1/18/19
EIN 59-1797080
Case Number EO-2019036-000596
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FLORAHOME - GRANDIN VOLUNTEER FIRE DEPARTMENT INC
Organization’s Mailing Address 201 W OHIO ST
City FLORAHOME
State FL
ZIP 32140
Accounting period End 12
Primary contact name DANIEL WEAVER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LOWERY JOHNSON
PRESIDENT
201 W OHIO ST
FLORAHOME FL 32140

Officer/Director/Trustee Two

JAMES UNDERWOOD
VICE PRESIDENT
201 W OHIO ST
FLORAHOME FL 32140

Officer/Director/Trustee Three

STACIE ROSS
TREASURER/SECRETARY
201 W OHIO ST
FLORAHOME FL 32140

Officer/Director/Trustee Four

JAMES PRESLEY
DIRECTOR 1
201 W OHIO ST
FLORAHOME FL 32140

Officer/Director/Trustee Five

GARY UPTAIN
DIRECTOR 2
201 W OHIO ST
FLORAHOME FL 32140

Organization’s website
Organization’s email FLORAHOMEVFD@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/1/66
Organization Incorporation State FL
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 Yes
Correctness Declaration Yes
Signature Name LOWERY JOHNSON
Signature Title PRESIDENT
Signature Date 1/18/19

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