FORM 1023-EZ for SPECIAL ANGELS FIRE AND EMS FUND

Field Data
EIN 81-2971430
Case Number EO-2019150-000208
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SPECIAL ANGELS FIRE AND EMS FUND
Organization’s Mailing Address PO BOX 926
City CONCORD
State NC
ZIP 28026
Accounting period End 6
Primary contact name ISAAC PADGETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WENDY KAHN
DIRECTOR
5960 SUITE 421 FAIRVIEW ROAD
CHARLOTTE NC 28210

Officer/Director/Trustee Two

JERRY PIERCE
DIRECTOR
173 FERN BROOK DR
MOORESVILLE NC 28117-6670

Officer/Director/Trustee Three

TODD JONES
DIRECTOR
10061 LOWER ROCKY RIVER RD
CONCORD NC 28025

Officer/Director/Trustee Four

ALLISON SMITH
DIRECTOR
1565 GOODNIGHT RD
SALISBURY NC 28147

Officer/Director/Trustee Five

ISAAC PADGETT
PRESIDENT
11600 MT OLIVE ROAD
GOLD HILL NC 28071

Organization’s website
Organization’s email SPECIALANGELSFIREEMS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/23/16
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ISAAC PADGETT
Signature Title PRESIDENT
Signature Date 5/28/19

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