FORM 1023-EZ for MOORE COUNTY VOLUNTEER FIRE DEPARTMENT

Field Data
EIN 47-2969116
Case Number EO-2015329-000247
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MOORE COUNTY VOLUNTEER FIRE DEPARTMENT
Organization’s Mailing Address P O BOX 704
City LYNCHBURG
State TN
ZIP 37352-0704
Accounting period End 12
Primary contact name MARK NEAL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARK NEAL
PRESIDENT
391 FLETCHER RD
TULLAHOMA TN 37388-7823

Officer/Director/Trustee Two

SCOTT PARKS
VICE PRESIDENT
3883 RIDGEVILLE RD
TULLAHOMA TN 37388-7700

Officer/Director/Trustee Three

DONALD PRIMUS
SECRETARY/TREASURER
3815 WINCHESTER HWY
LYNCHBURG TN 37352-8460

Organization’s website
Organization’s email MARKNEAL329@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/8/2014
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W90 - Consumer Protection, Safety
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 Yes
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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