FORM 1023-EZ for PETAL FIRE DEPARTMENT BENEVOLENT ASSOCIAITON

Field Data
EIN 83-3125873
Case Number EO-2019178-000088
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PETAL FIRE DEPARTMENT BENEVOLENT ASSOCIAITON
Organization’s Mailing Address 102 FAIRCHILD DRIVE
City PETAL
State MS
ZIP 39465
Accounting period End 12
Primary contact name KATHERINE MINYARD LEE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOE HENDRY
CHIEF
102 FAIRCHILD DRIVE
PETAL MS 39465

Officer/Director/Trustee Two

MARION SIMS
ASSISTANT CHIEF
102 FAIRCHILD DRIVE
PETAL MS 39465

Officer/Director/Trustee Three

KATHERINE MINYARD LEE
TREASURER
102 FAIRCHILD DRIVE
PETAL MS 39465

Officer/Director/Trustee Four

BRENT CHENNAULT
TRAINING OFFICER
102 FAIRCHILD DRIVE
PETAL MS 39465

Officer/Director/Trustee Five

CARLTON SIMS
BATTALION CHIEF
102 FAIRCHILD DRIVE
PETAL MS 39465

Organization’s website
Organization’s email PETALFDBA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/26/19
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M60 - Public Safety
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 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 KATHERINE MINYARD LEE
Signature Title TREASURER
Signature Date 6/25/19

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