FORM 1023-EZ for LAKES FIRE AND RESCUE DEPARTMENT INC

Field Data
EIN 58-1418574
Case Number EO-2016020-000131
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAKES FIRE AND RESCUE DEPARTMENT INC
Organization’s Mailing Address P O BOX 476
City TIGER
State GA
ZIP 30576
Accounting period End 6
Primary contact name GRAHAM C BETHEL CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

A BARRY WOOD
CEO
8767 BRIDGE CREEK ROAD
TIGER GA 30576

Officer/Director/Trustee Two

STEVE YORK
CFO
237 RITCHIE ROAD
TIGER GA 30576

Officer/Director/Trustee Three

MICHELLE BRAMLETT
SECRETARY
7 FREDS PLACE
TIGER GA 30576

Officer/Director/Trustee Four

MATTHEW B WOOD
DIRECTOR
8767 BRIDGE CREEK ROAD
TOGER GA 30576

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/12/1980
Organization Incorporation State GA
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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