FORM 1023-EZ for FALLEN LAW OFFICERS OF AMERICA

Field Data
EIN 47-4966048
Case Number EO-2016197-000216
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FALLEN LAW OFFICERS OF AMERICA
Organization’s Mailing Address 5868 MARATHON EDENTON RD
City WILLIAMSBURG
State OH
ZIP 45176
Accounting period End 12
Primary contact name KEN MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HAROLD MILLER
PRESIDENT
5868 MARATHON EDENTON RD
WILLIAMSBURG OH 45176

Officer/Director/Trustee Two

NICK TIPTON
VICE PRESIDENT
5868 MARATHON EDENTON RD
WILLIAMSBURG OH 45176

Officer/Director/Trustee Three

CHERYL NOAKES
TREASURER/SECRETARY
5868 MARATHON EDENTON RD
WILLIAMSBURG OH 45176

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/13/2016
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A11 - Single Organization Support
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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