FORM 1023-EZ for OBION COUTNY FIRE CHIEFS ASSOCATIONLLC

Field Data
EIN 87-1739392
Case Number EO-2021202-000292
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OBION COUTNY FIRE CHIEFS ASSOCATIONLLC
Organization’s Mailing Address 111 NORHT 5TH STREET
City UNION CITY
State TN
ZIP 38261-1621
Accounting period End 12
Primary contact name TREVOR HURST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KARL ULLRICH
VICE PRESIDENT
111 NORTH 5TH STREET
UNION CITY TN 38261-1621

Officer/Director/Trustee Two

JOSH HOLDEMAN
PRESIDENT
111 NORHT 5TH STREET
UNION CITY TN 38261-1621

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/19/2021
Organization Incorporation State TN
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 JOSH HOLDEMAN
Signature Title PRESIDENT
Signature Date 7/19/2021

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