FORM 1023-EZ for THOMAS FIRE DEPARTMENT ASSOCIATIONINC

Field Data
EIN 83-2185170
Case Number EO-2018346-000220
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THOMAS FIRE DEPARTMENT ASSOCIATIONINC
Organization’s Mailing Address PO BOX 433
City THOMAS
State OK
ZIP 73669
Accounting period End 10
Primary contact name LARRY SCHROCK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LARRY SCHROCK
PRESIDENT, DIRECTOR
712 N 15TH ST
THOMAS OK 73669

Officer/Director/Trustee Two

BETTY JO FLOYD
SECRETARY, DIRECTOR
321 W ORIENT ST
THOMAS OK 73669

Officer/Director/Trustee Three

DAVID ROGERS
TREASURER, DIRECTOR
PO BOX 261
THOMAS OK 73669

Officer/Director/Trustee Four

KENNY MCGUIRE
DIRECTOR
321 W ORIENT ST
THOMAS OK 73669

Officer/Director/Trustee Five

KELBY JINKENS
DIRECTOR
914 N 6TH ST
THOMAS OK 73669

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/11/18
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 LARRY SCHROCK
Signature Title PRESIDENT, DIRECTOR
Signature Date 12/10/18
EIN 83-2185170
Case Number EO-2018346-000220
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THOMAS FIRE DEPARTMENT ASSOCIATION INC
Organization’s Mailing Address PO BOX 433
City THOMAS
State OK
ZIP 73669
Accounting period End 10
Primary contact name LARRY SCHROCK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LARRY SCHROCK
PRESIDENT, DIRECTOR
712 N 15TH ST
THOMAS OK 73669

Officer/Director/Trustee Two

BETTY JO FLOYD
SECRETARY, DIRECTOR
321 W ORIENT ST
THOMAS OK 73669

Officer/Director/Trustee Three

DAVID ROGERS
TREASURER, DIRECTOR
PO BOX 261
THOMAS OK 73669

Officer/Director/Trustee Four

KENNY MCGUIRE
DIRECTOR
321 W ORIENT ST
THOMAS OK 73669

Officer/Director/Trustee Five

KELBY JINKENS
DIRECTOR
914 N 6TH ST
THOMAS OK 73669

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/11/18
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 LARRY SCHROCK
Signature Title PRESIDENT, DIRECTOR
Signature Date 12/10/18

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