FORM 1023-EZ for ROCKY BRANCH VOLUNTEER FIRE DEPARTMENT

Field Data
EIN 75-2563599
Case Number EO-2016258-000165
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROCKY BRANCH VOLUNTEER FIRE DEPARTMENT
Organization’s Mailing Address 4852 US HIGHWAY 259 NORTH
City DANGERFIELD
State TX
ZIP 75638
Accounting period End 12
Primary contact name WARREN PENNINGTON CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM KNIGHT
DIRECTOR
621 CR 4301
NAPLES TX 75568

Officer/Director/Trustee Two

KENNETH MOORE
DIRECTOR
614A HANES
HUGHES SPRINGS TX 75656

Officer/Director/Trustee Three

JIM BUTLER
DIRECTOR
PO BOX 957
HUGHES SPRINGS TX 75656

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/22/1993
Organization Incorporation State TX
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 Yes
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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