FORM 1023-EZ for MECKLENBURG COUNTY FIRE CHIEFS ASSOCIATION

Field Data
EIN 82-3902914
Case Number EO-2018190-000362
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MECKLENBURG COUNTY FIRE CHIEFS ASSOCIATION
Organization’s Mailing Address 114 N BRUNSWICK AVE
City SOUTH HILL
State VA
ZIP 23970
Accounting period End 12
Primary contact name JOHN ZUBROD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MIKE CLARK
PRESIDENT
PO BOX 253
LACROSSE VA 23950

Officer/Director/Trustee Two

JOHN ZUBROD
SECRETARY
353 HIDEAWAY PL
EBONY VA 23845

Officer/Director/Trustee Three

HOWARD MORRISON
TREASURER
192 TANNERS DRIVE
BOYDTON VA 23917

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/15/87
Organization Incorporation State VA
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 JOHN ZUBROD
Signature Title SECRETARY
Signature Date 7/5/18

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