FORM 1023-EZ for EMERGENCY SERVICES FOR COMMUNITY OUTREACH

Field Data
EIN 81-1695149
Case Number EO-2016147-000312
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EMERGENCY SERVICES FOR COMMUNITY OUTREACH
Organization’s Mailing Address 1208 WEST MARKET STREET
City DEHCERD
State TN
ZIP 37324-3732
Accounting period End 6
Primary contact name MARK BASSETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PEGGY LEGGITT
INCORPORATOR
265 AKE STREET
ESTILL SPRINGS TN 37330

Officer/Director/Trustee Two

DONNA LEGGITT
INCORPORATOR
65 AKE STREET
ESTILL SPRINGS TN 37330

Officer/Director/Trustee Three

DAVID FLORANCE
INCORPORATOR
804 KEYLON STREET
MANCHESTER TN 37355

Officer/Director/Trustee Four

MARK BASSETT
INCORPORATOR
1208 WEST MARKET STREET
DECHERD TN 37324

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/4/2016
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M12 - Fund Raising and/or Fund Distribution
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 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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