FORM 1023-EZ for FOXWORTH VOLUNTEER FIRE DEPARTMENTINC

Field Data
EIN 64-0690067
Case Number EO-2019242-000176
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FOXWORTH VOLUNTEER FIRE DEPARTMENTINC
Organization’s Mailing Address PO BOX 328
City FOXWORTH
State MS
ZIP 39483
Accounting period End 12
Primary contact name STEPHEN FOXWORTH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DWIGHT WESLEY
INCORPORATOR
PO BOX 227
FOXWORTH MS 39483

Officer/Director/Trustee Two

RAY WINDHAM
PRESIDENT
467 SUMBAX RD
FOXWORTH MS 39483

Officer/Director/Trustee Three

KAREN WINDHAM
SECRETARY-TREASURER
467 SUMBAX RD
FOXWORTH MS 39483

Officer/Director/Trustee Four

STEPHEN O FOXWORTH
DIRECTOR
PO BOX 194
FOXWORTH MS 39483

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/9/73
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RAY WINDHAM
Signature Title PRESIDENT
Signature Date 8/28/19
EIN 64-0690067
Case Number EO-2019242-000176
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FOXWORTH VOLUNTEER FIRE DEPARTMENT INC
Organization’s Mailing Address PO BOX 328
City FOXWORTH
State MS
ZIP 39483
Accounting period End 12
Primary contact name STEPHEN FOXWORTH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DWIGHT WESLEY
INCORPORATOR
PO BOX 227
FOXWORTH MS 39483

Officer/Director/Trustee Two

RAY WINDHAM
PRESIDENT
467 SUMBAX RD
FOXWORTH MS 39483

Officer/Director/Trustee Three

KAREN WINDHAM
SECRETARY-TREASURER
467 SUMBAX RD
FOXWORTH MS 39483

Officer/Director/Trustee Four

STEPHEN O FOXWORTH
DIRECTOR
PO BOX 194
FOXWORTH MS 39483

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/9/73
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RAY WINDHAM
Signature Title PRESIDENT
Signature Date 8/28/19

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