FORM 1023-EZ for JENNY LIND FIRE DEPARTMENT

Field Data
EIN 71-0650679
Case Number EO-2017038-000208
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JENNY LIND FIRE DEPARTMENT
Organization’s Mailing Address 14711 RYE HILL ROAD P O BOX 3165
City GREENWOOD
State AR
ZIP 72936-3165
Accounting period End 12
Primary contact name FREDA SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHIRLEY WALTERS
BOD PRESIDENT
P O BOX 1876
GREENWOOD AR 72936

Officer/Director/Trustee Two

MARY OWENS
BOD VICE PRESIDENT
14910 OLD JENNY LIND LOOP
FORT SMITH AR 72916

Officer/Director/Trustee Three

MARSHA COSSEY
DIRECTOR
14730 OLD JENNY LIND LOOP
FORT SMITH AR 72916

Officer/Director/Trustee Four

FREDA SMITH
DIRECTOR
2502 BOOTH RD
GREENWOOD AR 72936

Officer/Director/Trustee Five

HAROLD JOHNSON
DIRECTOR
2406 GATE NINE
GREENWOOD AR 72936

Organization’s website
Organization’s email JLFDST1@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/17/1994
Organization Incorporation State AR
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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