FORM 1023-EZ for FORSYTH COUNTY FIRE HISTORICAL SOCIETY

Field Data
EIN 84-4346923
Case Number EO-2020210-000582
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FORSYTH COUNTY FIRE HISTORICAL SOCIETY
Organization’s Mailing Address 4619 CHERRY STREET
City WINSTON-SALEM
State NC
ZIP 27105
Accounting period End 6
Primary contact name MICHAEL JAMES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HAROLD SCHAFFER
CHAIRMAN
3417 DIXIEANNA LANE
PFAFFTOWN NC 27040

Officer/Director/Trustee Two

MICHAEL JAMES
TREASURER
4642 CHERRY STREET
WINSTON SALEM NC 27105

Officer/Director/Trustee Three

JIMMY BARROW
DIRECTOR
3720 OLD FLATROCK ROAD
KERNERSVILLE ND 27284

Officer/Director/Trustee Four

DENIS WHICKER
DIRECTOR
2977 MARTIN STREET
WALKERTOWN NC 27051

Officer/Director/Trustee Five

RICK PLUNKETT
DIRECTOS
402 FALCONBRIDGE ROAD
RURAL HALLK NC 27045

Organization’s website WWW.FIREHOUSE.COM
Organization’s email FHVFDWS@BELLSOUTH.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/14/2020
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A54 - History Museums
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 MICHAEL JAMES
Signature Title TREASURER
Signature Date 7/24/2020

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