FORM 1023-EZ for SMITHDALE VOLUNTEER FIRE DEPARTMENTINC

Field Data
EIN 64-0944175
Case Number EO-2021064-001416
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SMITHDALE VOLUNTEER FIRE DEPARTMENTINC
Organization’s Mailing Address 5466 FENN ROAD
City SMITHDALE
State MS
ZIP 39664-8631
Accounting period End 12
Primary contact name DAVID FENN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID FENN
PRESIDENT
5289 FENN ROAD
SMITHDALE MS 39664-8640

Officer/Director/Trustee Two

CHARLES ADAMS
VICE PRESIDENT
5699 FENN ROAD
SMITHDALE MS 39664-8607

Officer/Director/Trustee Three

CHRIS CARRAWAY
SECRETARY
6509 MILLER ROAD
SMITHDALE MS 39664-8653

Officer/Director/Trustee Four

CLARENCE LILLY
DIRECTOR
5591 ROLLINSON ROAD
LIBERTY MS 39645-5037

Officer/Director/Trustee Five

CASEY BESSONETTE
DIRECTOR
5861 FENN
SMTHDALE MS 39664-8648

Organization’s website
Organization’s email smithdalevfd@gmail.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/19/1976
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: 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 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 DAVID FENN
Signature Title PRESIDENT
Signature Date 1/11/2021

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