FORM 1023-EZ for SUMTER COUNTY FIREFIGHTERS ASSOCIATION INC

Field Data
EIN 81-3995314
Case Number EO-2016295-000188
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SUMTER COUNTY FIREFIGHTERS ASSOCIATION INC
Organization’s Mailing Address 210 RUCKER STREET
City AMERICUS
State GA
ZIP 31719-2216
Accounting period End 12
Primary contact name DAVID BALDWIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM BALDWIN
PRESIDENT
109 ALLEN CHAPPELL RD
COBB GA 31735-2022

Officer/Director/Trustee Two

MARK GRIGGS
VICE PRESIDENT
199 MCMATH MILL RD
AMERICUS GA 31719-8620

Officer/Director/Trustee Three

PEGGY LYNN TOMS
SEC/TREAS
365 MEMORIAL MILE
AMERICUS GA 31719-8375

Officer/Director/Trustee Four

RICHARD BELL
TRUSTEE
1689 BUMPHEAD RD
ELLAVILLE GA 31806-2845

Officer/Director/Trustee Five

ROBERT MARCY
TRUSTEE
2800 HWY 41 NORTH
FORT VALLEY GA 31030-8702

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/15/2016
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M11 - Single Organization Support
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
Signature Title
Signature Date

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