FORM 1023-EZ for PLACENTIA FIREFIGHTERS ASSOCIATION

Field Data
EIN 85-1281619
Case Number EO-2020157-000242
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PLACENTIA FIREFIGHTERS ASSOCIATION
Organization’s Mailing Address 2992 SPARROW DR
City FULLERTON
State CA
ZIP 92835
Accounting period End 1
Primary contact name MARK HUCKABEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK HUCKABEY
PRESIDENT
2992 SPARROW DR
FULLERTON CA 92835

Officer/Director/Trustee Two

MATTHEW WEDIN
TREASURER
523 E MONTEREY RD
CORONA CA 92879

Officer/Director/Trustee Three

BRANDEN SMITH
SECRETARY
1742 N WILLOWOODS DR UNIT C
ANAHEIM CA 92807

Officer/Director/Trustee Four

ANTHONY DAVIS
VICE PRESIDENT
45384 TOURNEMENT LN
TEMECULA CA 92592

Officer/Director/Trustee Five

SCOTT FERGUSON
STATION REP
9003 SUNFLOWER
ALTA LOMA CA 91701

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/3/2020
Organization Incorporation State CA
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 No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MARK HUCKABEY
Signature Title PRESIDENT
Signature Date 6/3/2020

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