FORM 1023-EZ for PETAL FIRE DEPARTMENT LADIES AUXILIARY

Field Data
EIN 47-2572303
Case Number EO-2016277-000298
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PETAL FIRE DEPARTMENT LADIES AUXILIARY
Organization’s Mailing Address 102 FAIRCHILD DRIVE
City PETAL
State MS
ZIP 39465
Accounting period End 12
Primary contact name JESSICA HARDING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JESSICA HARDING
PRESIDENT
368 WALTERS RD
PETAL MS 39465

Officer/Director/Trustee Two

JENNIFER BURKHALTER
VICE PRESIDENT
22 CEDAR GROVE ROAD
PETAL MS 39465

Officer/Director/Trustee Three

BAILEE SIMS
SECRETARY/TRESURER
12 ACORN RIDGE
PETAL MS 39465

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/27/2016
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A12 - 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 Yes
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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