FORM 1023-EZ for FAIRFIELD SAFE METERS INC

Field Data
EIN 83-1614565
Case Number EO-2018248-000041
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FAIRFIELD SAFE METERS INC
Organization’s Mailing Address 1960 SAPPHIRE LANE
City FAIRFIELD
State IA
ZIP 52556-8759
Accounting period End 12
Primary contact name EMILY KELLY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EMILY KELLY
DIRECTOR
1960 SAPPHIRE LANE
FAIRFIELD IA 52556-8759

Officer/Director/Trustee Two

KATHY MATARA
DIRECTOR
1960 SAPPHIRE LANE
FAIRFIELD IA 52556-8759

Officer/Director/Trustee Three

SUSAN WATTERSON
DIRECTOR
1940 SAPPHIRE LANE
FAIRFIELD IA 52556-8759

Organization’s website
Organization’s email FFSM108@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/17/18
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W90 - Consumer Protection, Safety
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 Yes
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 EMILY KELLY
Signature Title DIRECTOR
Signature Date 8/31/18

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