FORM 1023-EZ for NICHOLSON VOLUNTEER FIRE AND RESCUEDEPARTMENT INC

Field Data
EIN 26-3122547
Case Number EO-2021222-000060
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NICHOLSON VOLUNTEER FIRE AND RESCUEDEPARTMENT INC
Organization’s Mailing Address PO BOX 188
City NICHOLSON
State GA
ZIP 30565
Accounting period End 12
Primary contact name DANA NICHOLS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MIKE WOOD
CEO
4507 HWY 441
NICHOLSON GA 30565

Officer/Director/Trustee Two

STEVE NICHOLS
CFO
7937 BROCKTON ROAD
NICHOLSON GA 30565

Officer/Director/Trustee Three

DANA NICHOLS
OFFICER
7937 BROCKTON ROAD
NICHOLSON GA 30565

Organization’s website WWW.NICHOLSONFIRERESCUE.ORG
Organization’s email NICHOLSONFIRE-RESCUE@WINDSTREAM.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/23/2020
Organization Incorporation State GA
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 DANA NICHOLS
Signature Title OFFICER
Signature Date 8/6/2021

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