FORM 1023-EZ for LONE OAK VOLUNTEER FIRE DEPARTMENT

Field Data
EIN 81-4035839
Case Number EO-2016291-000199
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LONE OAK VOLUNTEER FIRE DEPARTMENT
Organization’s Mailing Address 1278 US 127
City SIGNAL MOUNTAIN
State TN
ZIP 37377-7635
Accounting period End 12
Primary contact name TOMMY JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TOMMY JOHNSON
DIRECTOR
943 US 127
SIGNAL MOUNTAIN TN 37377-7649

Officer/Director/Trustee Two

BOB TUCKER
DIRECTOR
153 HORSESHOE BEND ROAD EAST
SIGNAL MOUNTAIN TN 37377-7123

Officer/Director/Trustee Three

WILLIAM JOHNSON
DIRECTOR
338 HALL ROAD
SIGNAL MOUNTAIN TN 37377-7626

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2016
Organization Incorporation State TN
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 No
One Third Support Gifts Yes
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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