FORM 1023-EZ for DEKALB COUNTY FIRE RESCUE EXPLORERPOST 901 PARENTS ORGANIZATION

Field Data
EIN 81-2227741
Case Number EO-2016197-000239
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DEKALB COUNTY FIRE RESCUE EXPLORERPOST 901 PARENTS ORGANIZATION
Organization’s Mailing Address 6081 AMBERLY ROAD
City REX
State GA
ZIP 30273
Accounting period End 12
Primary contact name DARRYL NICHOLS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DARRYL NICHOLS
EXECUTIVE DIRECTOR
6081 AMBERLY ROAD
REX GA 30273

Officer/Director/Trustee Two

DEMOND SIMPSON
VICE PRESIDENT
4015 JAMAICA DRIVE
JONESBORO GA 30236

Officer/Director/Trustee Three

BRENDA BERRY
SECRETARY
2039 REFLECTION CREEK DRIVE
CONYERS GA 30013

Officer/Director/Trustee Four

AVUS BING
TREASURER
6664 SUNSET PARK
REX GA 30273

Officer/Director/Trustee Five

NA NA
NA
NA
NA GA 00000

Organization’s website NA
Organization’s email NJ3051@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/14/2016
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 Yes
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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