FORM 1023-EZ for THE CRUCIBLES FIRE INC

Field Data
EIN 82-3631968
Case Number EO-2018005-000097
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE CRUCIBLES FIRE INC
Organization’s Mailing Address 12199 FM 858
City BEN WHEELER
State TX
ZIP 75754
Accounting period End 12
Primary contact name MATT PARKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATT PARKER
PRESIDENT
7309 FM 2909
CANTON TX 75103

Officer/Director/Trustee Two

JOSH OTTEN
VICE PRESIDENT
249 EAST TEXAS STREET
VAN TX 75790

Officer/Director/Trustee Three

TAMMY PARKER
SECRETARY / TREASURER
7309 FM 2909
CANTON TX 75103

Officer/Director/Trustee Four

TIM GANDY
DIRECTOR
3600 WILLIAM SCARBROUGH
SCHERTZ TX 78154

Officer/Director/Trustee Five

CARRIE GURLEY
DIRECTOR
640 CIRCLEVIEW DRIVE NORTH
HURST TX 76054

Organization’s website WWW.THECRUCIBLESFIRE.ORG
Organization’s email MATTPARKER@THECRUCIBLESFIRE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/8/17
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X83 - Religious Printing, Publishing
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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 MATT PARKER
Signature Title PRESIDENT
Signature Date 1/3/18

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