FORM 1023-EZ for FIRE AND IRON MC STATION 165

Field Data
EIN 84-2112569
Case Number EO-2020008-000374
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FIRE AND IRON MC STATION 165
Organization’s Mailing Address 2020 PARK LANE
City ANDERSONVILLE
State TN
ZIP 37705
Accounting period End 12
Primary contact name MISTY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATTHEW CATALINE
PRESIDENT
2020 PARK LN
ANDERSONVILLE TN 37705

Officer/Director/Trustee Two

DONNIE FORRESTER
VICE PRESIDENT
5819 MAGAZINE RD
KNOXVILLE TN 37920

Officer/Director/Trustee Three

MISTY CATALINE
SECRETARY/TREASURER
2020 PARK LN
ANDERSONVILLE TN 37705

Organization’s website
Organization’s email FIREANDIRONST165@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/17/2019
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y12 - 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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MATTHEW CATALINE
Signature Title PRESIDENT
Signature Date 1/6/2020

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