FORM 1023-EZ for FIREBUSH

Field Data
EIN 82-3259417
Case Number EO-2018277-000078
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FIREBUSH
Organization’s Mailing Address P O BOX 570779
City ORLANDO
State FL
ZIP 32857
Accounting period End 12
Primary contact name GLORIA HARRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GLORIA HARRIS
PRESIDENT
7812 RICHWOOD DRIVE
ORLANDO FL 32825

Officer/Director/Trustee Two

RAQUAN HALL
SECRETARY
6745 SULLIVAN WAY
ALEXANDRIA VA 22315

Officer/Director/Trustee Three

MAJIDAH CIRONE
TREASURER
663 BABLONICA DRIVE
ORLANDO FL 32807

Organization’s website
Organization’s email FIRE.BUSH@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/2/17
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
Organization’s purpose Charitable: Yes
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 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 GLORIA HARRIS
Signature Title PRESIDENT
Signature Date 10/2/18

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