FORM 1023-EZ for FAULKNER COUNTY DEPUTY AND POLICE APPRECIATION

Field Data
EIN 87-0848321
Case Number EO-2021153-000158
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FAULKNER COUNTY DEPUTY AND POLICE APPRECIATION
Organization’s Mailing Address 3 LANCASTER LANE
City CONWAY
State AR
ZIP 72032
Accounting period End 12
Primary contact name SHANNAN PRUITT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHANNAN PRUITT
DIRECTOR
3 LANCASTER LANE
CONWAY AR 72032

Officer/Director/Trustee Two

ROCHELLE BYRD
DIRECTOR
8181 MIDTOWN BLVD 7105
DALLAS TX 75231

Officer/Director/Trustee Three

MAKISHA DAVIS
DIRECTOR
4097 HORD RD
MURFREESBORO TN 37219

Organization’s website
Organization’s email DEPUTYPOLICE72034@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/20/2021
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - 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 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 SHANNAN PRUITT
Signature Title DIRECTOR
Signature Date 5/31/2021

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