FORM 1023-EZ for MARTIN CREEK VOLUNTEER FIRE DEPARTMENT

Field Data
EIN 71-0678547
Case Number EO-2017142-000335
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MARTIN CREEK VOLUNTEER FIRE DEPARTMENT
Organization’s Mailing Address 794 MARTIN CREEK RD
City WILLIFORD
State AR
ZIP 72482
Accounting period End 12
Primary contact name PHILLIP SULLIVAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PHILLIP SULLIVAN
CHIEF
168 POWELL HOLLOW RD
WILLIFORD AR 72482

Officer/Director/Trustee Two

GEORGE BILLINGSLEY
ASST CHIEF
261 BEAR BLUFF TR
RAVENDEN AR 72459

Officer/Director/Trustee Three

RALPH SHARP
TREASURER
1264 BAKERS CEMETERY RD
WILLIFORD AR 72482

Officer/Director/Trustee Four

MELINDA SULLIVAN
DIRECTOR
168 POWELL HOLLOW RD
WILLIFORD AR 72482

Officer/Director/Trustee Five

KEVIN HOLLOWAY
DIRECTOR
216 POWELL HOLLOW RD
WILLIFORD AR 72482

Organization’s website
Organization’s email MCVFD1700@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/13/1989
Organization Incorporation State AR
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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