FORM 1023-EZ for 9-11 MEMORIAL FIRE TRUCK

Field Data
EIN 81-3961878
Case Number EO-2016280-000258
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name 9-11 MEMORIAL FIRE TRUCK
Organization’s Mailing Address 8808 GARY STREET
City FORT SMITH
State AR
ZIP 72903
Accounting period End 12
Primary contact name JASON MATTINGLY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON MATTINGLY
FOUNDER
8808 GARY STREET
FORT SMITH AR 72903

Officer/Director/Trustee Two

GARY HESTER
TREASURER
515 GOV BASS LITTLE STREET
GREENWOOD AR 72936

Officer/Director/Trustee Three

RICHARD REEVES
SECRETARY
4001 ROGERS
FORT SMITH AR 72903

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/26/2016
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 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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