FORM 1023-EZ for SOUTHSIDE VOLUNTEER FIRE DEPARTMENTASSOCIATION

Field Data
EIN 86-1125969
Case Number EO-2016326-000089
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTHSIDE VOLUNTEER FIRE DEPARTMENTASSOCIATION
Organization’s Mailing Address 1408 E INDUSTRIAL STREET
City STIGLER
State OK
ZIP 74462
Accounting period End 12
Primary contact name AMANDA BUCKNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEON BUCKNER
CHIEF
406 NE 4TH ST
STIGLER OK 74462

Officer/Director/Trustee Two

AMANDA BUCKNER
TREASURER
406 NE 4TH ST
STIGLER OK 74462

Officer/Director/Trustee Three

BRIAN FORD
CHAIRMAN
30379 ECR 1230
STIGLER OK 74462

Officer/Director/Trustee Four

BRANDON DAVIS
VICE CHAIRMAN
40216 ECR 1219
STIGLER OK 74462

Officer/Director/Trustee Five

RAY CLOUD
BOARD MEMBER
10196 WCR 119
STIGLER OK 74462

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/5/1997
Organization Incorporation State OK
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 Yes
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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