FORM 1023-EZ for FAIRFIELD COUNTY FIREFIGHTERS ASSOCIATION

Field Data
EIN 31-1708197
Case Number EO-2017097-000367
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FAIRFIELD COUNTY FIREFIGHTERS ASSOCIATION
Organization’s Mailing Address 4043 CARROLL EASTERN RD NW
City CARROLL
State OH
ZIP 43112
Accounting period End 12
Primary contact name SUZANNE K VAN HORN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERRY MORRIS SR
SECRETARY TREASURER AND DIRECTOR
4043 CARROLL EASTERN RD NW
CARROLL OH 43112

Officer/Director/Trustee Two

MICHAEL JACKSON
PRESIDENT AND DIRECTOR
7625 BADER RD NW
BALTIMORE OH 43105

Officer/Director/Trustee Three

DON SIMPSON
VICE PRESIDENT AND DIRECTOR
PO BOX 15
AMANDA OH 43102

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/27/2016
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J22 - Vocational Training
Organization’s purpose Charitable: No
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 Yes
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
Signature Title
Signature Date

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