FORM 1023-EZ for FREDERICKTOWN FIRE AND POLICE COMMUNITY COALITION

Field Data
EIN 47-3993100
Case Number EO-2015236-000137
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FREDERICKTOWN FIRE AND POLICE COMMUNITY COALITION
Organization’s Mailing Address 120 WEST MAIN
City FREDERICKTOWN
State MO
ZIP 63645
Accounting period End 12
Primary contact name PAUL BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ERIC HOVIS
CHAIRPERSON
5 JUNIPER CT
FREDERICKTOWN MO 63645

Officer/Director/Trustee Two

JOHN CLARK
VICE CHAIRPERSON
1326 WHITE TAIL DT
FREDERICKTOWN MO 63645

Officer/Director/Trustee Three

LISA BROWN
SECRETARY TREASURER
712 SOUTH MAIN
FREDERICKTOWN MO 63645

Officer/Director/Trustee Four

JASON FITZWATER
OFFICER
4 MAGNOLIA CT
FREDERICKTOWN MO 63645

Officer/Director/Trustee Five

PAUL BROWN
OFFICER
712 SOUTH MAIN
FREDERICKTOWN MO 63645

Organization’s website
Organization’s email FFPCC@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/8/2015
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S21 - Community Coalitions
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
Signature Title
Signature Date

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