FORM 1023-EZ for ALLEN COMMUNITY VOLUNTEER FIRE DEPARTMENT INC

Field Data
EIN 64-0833907
Case Number EO-2018071-000074
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ALLEN COMMUNITY VOLUNTEER FIRE DEPARTMENT INC
Organization’s Mailing Address 3068 RIDGEWOOD LANE
City HAZLEHURST
State MS
ZIP 39083
Accounting period End 12
Primary contact name BOBBIE G WIGLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BOBBIE G WIGLEY
SECRETARY-TREASURER
4130 HWY 547
PATTISON MS 39144

Officer/Director/Trustee Two

TRAVIS HILL
PRESIDENT
4042 WATSON RD
WESSON MS 39191

Officer/Director/Trustee Three

WILLIAM D STARNES
VICE-PRESIDENT
3100 SHELTON-WEEKS RD
PATTISON MS 39144

Officer/Director/Trustee Four

IRA J BLAND
CHIEF
1163 BLAND LANE
HAZLEHURST MS 39083

Officer/Director/Trustee Five

TERRY ALLEN
ASST CHIEF
2141 OLD RED STAR RD
WESSON MS 39191

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/15/93
Organization Incorporation State MS
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BOBBIE G WIGLEY
Signature Title SECRETARY-TREASURER
Signature Date 3/8/18

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