FORM 1023-EZ for FAULKNER COUNTY LONG TERM RECOVERYBOARD

Field Data
EIN 47-1561538
Case Number EO-2014234-000307
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FAULKNER COUNTY LONG TERM RECOVERYBOARD
Organization’s Mailing Address 801 LOCUST AVENUE
City CONWAY
State AR
ZIP 72034
Accounting period End 12
Primary contact name PAM MCBROOME
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MIKE RANEY
PRESIDENT
4 LEONA LANE
MAYFLOWER AR 72106

Officer/Director/Trustee Two

FRANK MITCHELL
VICE-PRESIDENT
14 ROSS DRIVE
VILONIA AR 72173

Officer/Director/Trustee Three

LORI MELTON
SECRETARY
5153 STEPPING STONE
CONWAY AR 72034

Officer/Director/Trustee Four

PAMELA MCBROOME
TREASURER
5245 SHAKESPEARE DRIVE
CONWAY AR 72034

Officer/Director/Trustee Five

MARET CAHILL
BOARD MEMBER
4445 RALEIGH DRIVE
CONWAY AR 72034

Organization’s website WWW.FAULKNERRELIEF.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/29/2014
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M20 - Disaster Preparedness and Relief Services
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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