FORM 1023-EZ for CONWAY FIREFIGHTERS COMBAT CHALLENGE TEAM

Field Data
EIN 81-1888854
Case Number EO-2016326-000112
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CONWAY FIREFIGHTERS COMBAT CHALLENGE TEAM
Organization’s Mailing Address 1401 CALDWELL ST
City CONWAY
State AR
ZIP 72034-5318
Accounting period End 12
Primary contact name JOHN SKINNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN SKINNER
PRESIDENT
2870 SUMMERSET
CONWAY AR 72034-2949

Officer/Director/Trustee Two

JOHN MATTOX
VICE PRESIDENT
617 E CRAWFORD DR
MARION AR 72364-8011

Officer/Director/Trustee Three

MARCUS LEDBETTER
SECRETARY
1015 CHAMPIONS DR
CONWAY AR 72034-8291

Officer/Director/Trustee Four

STEWART WILCOX
TREASURER
26 WINEGLASS RD
GREENBRIER AR 72058-9273

Officer/Director/Trustee Five

KENNY HARTNESS
DIRECTOR
73 EAST PLEASANT VALLEY
GREENBRIER AR 72058-9698

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/7/2016
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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
Signature Title
Signature Date

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