FORM 1023-EZ for MABANK VOLUNTEER FIRE DEPARTMENT INC

Field Data
EIN 82-3544163
Case Number EO-2017338-000236
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MABANK VOLUNTEER FIRE DEPARTMENT INC
Organization’s Mailing Address 111 E MASON ST
City MABANK
State TX
ZIP 75147
Accounting period End 12
Primary contact name R MICHAEL GROOM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHNNY ADAMS
DIRECTOR/SEC/TREAS
PO BOX 391
MABANK TX 75147

Officer/Director/Trustee Two

RICKY MYRICK
DIRECTOR/PRES
17312 CR 4065
KEMP TX 75143

Officer/Director/Trustee Three

WAYNE MCKENZIE
DIRECTOR/VP
12814 GRIER RD
MABANK TX 75147

Officer/Director/Trustee Four

JOHN HOLCOMBE
DIRECTOR
501 VZCR 2813
MABANK TX 75147

Officer/Director/Trustee Five

KENNETH TANNER
DIRECTOR
1200 KMJ RANCH RD
MABANK TX 75147

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/16/2017
Organization Incorporation State TX
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: Yes
Scientific: No
Literary: No
Public Safety: Yes
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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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