FORM 1023-EZ for FIREFLY OUTREACH

Field Data
EIN 82-3744763
Case Number EO-2018005-000061
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FIREFLY OUTREACH
Organization’s Mailing Address 9809 HIGHWAY 371
City MARIETTA
State MS
ZIP 38856
Accounting period End 12
Primary contact name PATTI HERRINGTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATTI HERRINGTON
PRESIDENT
PO BOX 4114
BRANDON MS 39047

Officer/Director/Trustee Two

CHERYL BROWN
SECRETARY
500 KILBURN COURT
FRANKLIN TN 37067

Officer/Director/Trustee Three

KASONDRA WATKINS
TREASUER
95 FRANKLIN HTS
ROYSTON GA 30662

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/18
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F40 - Hot Line, Crisis Intervention Services
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 PATTI HERRINGTON
Signature Title PRESIDENT
Signature Date 1/3/18

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