FORM 1023-EZ for FORT PAYNE - DEKALB COUNTY E-CENTER

Field Data
EIN 83-2533375
Case Number EO-2018340-000547
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FORT PAYNE - DEKALB COUNTY E-CENTER
Organization’s Mailing Address 813 GRAND AVE NW
City FORT PAYNE
State AL
ZIP 35967
Accounting period End 12
Primary contact name VICKY KIRBY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VICKY KIRBY
PRESIDENT / DIRECTOR
813 GRAND AVE NW
FORT PAYNE AL 35967

Officer/Director/Trustee Two

FREDDY JOHNSON
VICE PRESIDENT / DIRECTOR
PO BOX 680259
FORT PAYNE AL 35967

Officer/Director/Trustee Three

STEVE BREWER
TREASURER/SECRETARY
405 ALABAMA AVE NW
FORT PAYNE AL 35967

Officer/Director/Trustee Four

MARY REED
DIRECTOR
1500 AIRPORT ROAD
FORT PAYNE AL 35967

Officer/Director/Trustee Five

BRIAN BAIN
DIRECTOR
1512 GRAND AVENUE NW
FORT PAYNE AL 35967

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/18/18
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S99 - Community Improvement, Capacity Building N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
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 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 VICKY KIRBY
Signature Title PRESIDENT / DIRECTOR
Signature Date 12/4/18

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