FORM 1023-EZ for DALTON FIREFIGHTERS BENEVOLENT FUNDINC

Field Data
EIN 84-2559139
Case Number EO-2021124-000051
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DALTON FIREFIGHTERS BENEVOLENT FUNDINC
Organization’s Mailing Address 524 MCGHEE DR
City DALTON
State GA
ZIP 30721-4333
Accounting period End 12
Primary contact name STANLEY FRANKLIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DOUGLAS KERNS
CEO
72 BAILIE LN
CHATSWORTH GA 30705

Officer/Director/Trustee Two

JASON HARRIS
VICE PRESIDENT
705 CRANE WAY
DALTON GA 30720

Officer/Director/Trustee Three

JOSH TOWNSEND
TREASURER
1914 WREN WAY
DALTON GA 30721

Officer/Director/Trustee Four

MATT ASBELL
SECRETARY
3110 FARM VIEW CT
ROCKY FACE GA 30740

Officer/Director/Trustee Five

SCOTT BROCK
AT-LARGE
896 SITTON RD SOUTH
CHATSWORTH GA 30705

Organization’s website NONE
Organization’s email STANFRAN@WINDSTREAM.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/9/2021
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J12 - Fund Raising and/or Fund Distribution
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 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 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 DOUGLAS KERNS
Signature Title CEO
Signature Date 4/30/2021

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