FORM 1023-EZ for JONES FORK VOLUNTEER FIRE DEPARTMENT INCORPORATED

Field Data
EIN 43-2064280
Case Number EO-2015259-000265
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JONES FORK VOLUNTEER FIRE DEPARTMENT INCORPORATED
Organization’s Mailing Address 9671 HWY 550 E / PO BOX 235
City MOUSIE
State KY
ZIP 41739
Accounting period End 12
Primary contact name BENNY BAILEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BENNY BAILEY
PRESIDENT/CHIEF
9671 WHY 550 E/PO BOX 235
MOUSIE KY 41839

Officer/Director/Trustee Two

COREY KING
ASSISTANT CHIEF
9671 WHY 550 E/PO BOX 235
MOUSIE KY 41839

Officer/Director/Trustee Three

TODD WALLEN
SECRETARY
9671 WHY 550 E/PO BOX 235
MOUSIE KY 41839

Officer/Director/Trustee Four

JAMES BAILEY
DIRECTOR
9671 WHY 550 E/PO BOX 235
MOUSIE KY 41839

Officer/Director/Trustee Five

ZACK KING
TREASURER
9671 WHY 550 E/PO BOX 235
MOUSIE KY 41839

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/7/1985
Organization Incorporation State KY
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 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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