FORM 1023-EZ for LA VERGNE FIREFIGHTERS ASSOCIATION

Field Data
EIN 81-4346701
Case Number EO-2019337-000223
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LA VERGNE FIREFIGHTERS ASSOCIATION
Organization’s Mailing Address P O BOX 516
City LAVERGNE
State TN
ZIP 37086
Accounting period End 12
Primary contact name MARCUS HARNEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARCUS HARNEY
PRESIDENT
610 STOVALL ROAD
PULASKI TN 38478

Officer/Director/Trustee Two

MATTHEW FRYE
VICE PRESIDENT
110 DOWNSTREAM DRIVE
MURFREESBORO TN 37127

Officer/Director/Trustee Three

NICK MATTHEWS
TREASURER
3005 SHADY GLEN CIRCLE
MURFREESBORO TN 37128

Officer/Director/Trustee Four

KEVIN DOUGLAS
SECRETARY
289 BLACKTHORNE LANE
GALLATIN TN 37066

Officer/Director/Trustee Five

DONALD WHITLEY
ASSISTANT TREASURER
3618 HAMILTON CHURCH ROAD
ANTIOCH TN 37013

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/8/16
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
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 Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MARCUS HARNEY
Signature Title PRESIDENT
Signature Date 12/1/19

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