FORM 1023-EZ for HEATH POLICE - FIRE ASSOCIATION

Field Data
EIN 87-2983807
Case Number EO-2021281-000351
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEATH POLICE - FIRE ASSOCIATION
Organization’s Mailing Address 3009 ESTUARY DR
City ROYCE CITY
State TX
ZIP 75189
Accounting period End 12
Primary contact name DALLAS TALLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DALLAS TALLEY
REGISTERED AGENT
200 LAURENCE DRIVE
HEATH TX 75032

Officer/Director/Trustee Two

CHASE SCARBROUGH
DIRECTOR
1099 ACR 305
FRANKSTON TX 75763

Officer/Director/Trustee Three

KENNY GRIFFITH
DIRECTOR
3009 ESTUARY DR
ROYSE CITY TX 75189

Organization’s website
Organization’s email D.TALLEY@HEATHTX.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/6/2021
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S12 - 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KENNY GRIFFITH
Signature Title DIRECTOR
Signature Date 10/6/2021

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